POWERED STAPLING DEVICE WITH MANUAL RETRACTION
20220378417 · 2022-12-01
Inventors
Cpc classification
A61B2017/00367
HUMAN NECESSITIES
A61B2017/00398
HUMAN NECESSITIES
International classification
Abstract
A powered handle assembly includes a motor assembly, a rack, a spur gear, and a manual retract mechanism. The spur gear is movable from a position engaged with the motor assembly and the rack to a positioned disengaged from the motor assembly and engaged with the rack to facilitate manual retraction of the rack.
Claims
1. A powered handle assembly for a surgical device comprising: a housing defining a cavity; a gear casing supported within the cavity of the housing, the gear casing defining a longitudinal channel, a first cavity, and a second cavity that communicate with each other; a motor assembly including an output shaft and a drive gear secured to the output shaft, the motor assembly secured to the gear casing, and the drive gear being positioned within the second cavity of the gear casing; a rack received within the longitudinal channel of the gear casing and movable between retracted and advanced positions; a rotating shaft extending through the first cavity of the gear casing; and a spur gear coupled to the rotating shaft and received within the first cavity of the gear casing, the spur gear movable within the first cavity from a first position in which the spur gear is engaged with the drive gear and the rack to a second position in which the spur gear is disengaged from the drive gear and engaged with the rack.
2. The powered handle of claim 1, further including a crank lever coupled to the rotating shaft, the crank lever movable to move the spur gear from first position to the second position.
3. The powered handle of claim 2, further including a biasing member engaged with the spur gear, the biasing member urging the spur gear towards the first position.
4. The powered handle of claim 3, wherein the rotating shaft includes a first portion and a second portion, the first portion rotatably fixed to the spur gear, and the second portion receiving the crank lever.
5. The powered handle of claim 4, wherein the housing defines an opening and includes a removable cover positioned over the opening, the crank lever being accessible through the opening.
6. The powered handle of claim 5, wherein the crank lever is movable along the second portion of the rotating shaft from a first position in which the rotating shaft can rotate independently of the crank lever to a second position in which the crank lever is rotatably fixed to the rotating shaft.
7. The powered handle of claim 6, wherein the crank lever includes a hub that defines a through bore having a rectangular portion and the second portion of the rotating shaft includes a rectangular portion that is received within the rectangular portion of the through bore when the crank lever is in its second position.
8. The powered handle of claim 4, further including first and second C-clips, the second portion of the rotating shaft defining spaced annular grooves that receive the first and second C-clips, respectively.
9. The powered handle of claim 8, wherein the spur gear is received about the second portion of the rotating shaft atop the first C-clip within the first cavity of the gear casing 44 and the second C-clip is positioned externally of the first cavity of the gear casing and securing the rotating shaft to the gear casing.
10. A surgical stapling device comprising: a powered handle assembly including: a housing defining a cavity; a gear casing supported within the cavity of the housing, the gear casing defining a longitudinal channel, a first cavity, and a second cavity that communicate with each other; a motor assembly including an output shaft and a drive gear secured to the output shaft, the motor assembly secured to the gear casing, and the drive gear being positioned within the second cavity of the gear casing; a rack received within the longitudinal channel of the gear casing and movable between retracted and advanced positions; a rotating shaft extending through the first cavity of the gear casing; and a spur gear coupled to the rotating shaft and received within the first cavity of the gear casing, the spur gear movable within the first cavity from a first position in which the spur gear is engaged with the drive gear and the rack to a second position in which the spur gear is disengaged from the drive gear and engaged with the rack; an adapter assembly having a proximal portion and a distal portion, the proximal portion coupled to the handle assembly, the adapter assembly including a firing rod that is coupled to the rack and movable between retracted and advanced positions in response to movement of the rack between its retracted and advanced positions; and a tool assembly supported on the distal portion of the adapter assembly.
11. The stapling device of claim 10, wherein the handle assembly further includes a crank lever coupled to the rotating shaft, the crank lever movable to move the spur gear from first position to the second position.
12. The stapling device of claim 11, wherein the handle assembly further includes a biasing member engaged with the spur gear, the biasing member urging the spur gear towards the first position.
13. The stapling device of claim 12, wherein the handle assembly further includes a first portion and a second portion, the first portion rotatably fixed to the spur gear, and the second portion receiving the crank lever.
14. The stapling device of claim 13, wherein the housing of the handle assembly defines an opening and includes a removable cover positioned over the opening, the crank lever being accessible through the opening.
15. The stapling device of claim 14, wherein the crank lever of the handle assembly is movable along the second portion of the rotating shaft from a first position in which the rotating shaft can rotate independently of the crank lever to a second position in which the crank lever is rotatably fixed to the rotating shaft.
16. The stapling device of claim 15, wherein the crank lever of the handle assembly includes a hub that defines a through bore having a rectangular portion and the second portion of the rotating shaft includes a rectangular portion that is received within the rectangular portion of the through bore when the crank lever is in its second position.
17. The stapling device of claim 13, wherein the handle assembly further includes first and second C-clips, the second portion of the rotating shaft defining spaced annular grooves that receive the first and second C-clips, respectively, the spur gear being received about the second portion of the rotating shaft atop the first C-clip within the first cavity of the gear casing and the second C-clip being positioned externally of the first cavity of the gear casing and securing the rotating shaft to the gear casing.
18. The stapling device of claim 10, wherein the tool assembly includes an anvil and a cartridge assembly, the anvil and the cartridge assembly cartridge assembly being movable between open and clamped positions.
19. The stapling device of claim 18, further including a drive assembly coupled to the firing rod, the drive assembly including a working end having an I-beam configuration, the working end of the drive assembly movable in relation to the anvil and the cartridge assembly in response to movement of the firing rod between its retracted and advanced positions.
20. A powered handle assembly for a surgical device comprising: a housing defining a cavity; a motor assembly including an output shaft and a drive gear secured to the output shaft, the motor assembly supported within housing; a drive screw supported within the housing; a rotating shaft supported within the housing; and a spur gear coupled to the rotating shaft and received within the housing, the spur gear movable from a first position in which the spur gear is engaged with the drive gear and the rack to a second position in which the spur gear is disengaged from the drive gear and engaged with the rack.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0033] Various embodiments of the disclosed staple cartridge are described herein below with reference to the drawings, wherein:
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DETAILED DESCRIPTION
[0063] The disclosed surgical device will now be described in detail with reference to the drawings in which like reference numerals designate identical or corresponding elements in each of the several views. However, it is to be understood that the aspects of the disclosure are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the disclosure in virtually any appropriately detailed structure. In addition, directional terms such as front, rear, upper, lower, top, bottom, and similar terms are used to assist in understanding the description and are not intended to limit the disclosure.
[0064] In this description, the term “proximal” is used generally to refer to that portion of the device that is closer to a clinician, while the term “distal” is used generally to refer to that portion of the device that is farther from the clinician. In addition, the term “endoscopic” is used generally to refer to endoscopic, laparoscopic, arthroscopic, and/or any other procedure conducted through a small diameter incision or cannula. Further, the term “clinician” is used generally to refer to medical personnel including doctors, nurses, surgeons, and support personnel.
[0065] This disclosure is directed to a surgical device that includes a powered handle assembly having a motor assembly, a rack, a spur gear, and a manual retract mechanism. The spur gear is movable from a position engaged with the motor assembly and the rack to a positioned disengaged from the motor assembly and engaged with the rack to facilitate manual retraction of the rack.
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[0067] In aspects of the disclosure, the tool assembly 16 forms part of a reload assembly 32 that includes a proximal body portion 34 and the tool assembly 16. The proximal body portion 34 of the reload assembly 32 forms an extension of the adapter assembly 14 and includes a proximal end that is adapted to be releasably coupled to a distal end of the adapter assembly 14 and a distal end that supports the tool assembly 16 for articulation. In aspects of the disclosure, the tool assembly 16 can be fixedly coupled to a distal portion of the adapter assembly 14.
[0068] In aspects of the disclosure, the housing 18 of the handle assembly 12 is formed from half-sections that are coupled together such as by welding of with screws to define a cavity 38 that receives internal components of the handle assembly 12 which are described in further detail below. The housing 18 defines an upper opening 40 that provides access to the internal components of the handle assembly 12. The upper opening 40 is enclosed by a cover 42 that is removably supported within the upper opening 40.
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[0070] The motor assembly 46 includes an output shaft 70 (
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[0072] The rotating shaft 78 includes a head portion 96 and a shaft portion 98 that extends downwardly from the head portion 96 as viewed in
[0073] The gear casing 44 defines first and second openings 114 and 116 that communicate with upper and lower ends of the first cavity 60 of the gear casing 44. The cylindrical portion 102 of the rotating shaft 78 is received within the first opening 114 of the gear casing 44 and the second rectangular portion 104 of the rotating shaft 78 extends through the second opening 116 of the gear casing 44. The C-clip 110 is secured to the lower end of the second rectangular portion 104 of the rotating shaft 78 adjacent a lower surface of the gear casing 44 and the C-clip 112 is secured to the second rectangular portion 104 of the rotating shaft 78 within the first cavity 60 of the gear casing 44. The C-clips 110 and 112 secure the intermediate spur gear 54 to the rotating shaft 78 and secure the rotating shaft 78 to the gear casing 44. The second rectangular portion 104 of the rotating shaft 78 is received within a rectangular bore in the intermediate spur gear 54 to rotatably fix the intermediate spur gear 54 to the rotating shaft 78.
[0074] The intermediate spur gear 54 is received within the first cavity 60 of the gear casing 44 and is movable within the first cavity between a first or lower position and a second or upper position. In the lower position (
[0075] The manual retract mechanism 52 includes a biasing member 120 that is positioned between an upper surface of the intermediate spur gear 54 and the inner surface of the gear casing 44. The biasing member 120 urges the intermediate spur gear 54 towards its lower position in which the intermediate spur gear 54 is engaged with both the drive gear 56 and the rack 48. In some aspects of the disclosure, a washer 122 is positioned between an upper surface of the biasing member 120 and the inner surface of the gear casing 44. In some aspects of the disclosure, the biasing member 120 includes a coil spring. It is envisioned that other types of biasing members could be incorporated into the stapling device 10 (
[0076] The rack 44 includes a distal portion that is coupled to the firing rod 50, In aspects of the disclosure, the proximal portion of the firing rod 50 is formed with a head 124 that has a diameter that is larger than a body of the firing rod 50 and the distal portion of the rack 48 defines a slot 128. The head 124 of the firing rod 50 is received within the slot 128 of the rack 48 to couple the firing rod 50 to the rack 48 such that longitudinal movement of the rack 48 causes longitudinal movement of the firing rod 50. The coupling of the head 124 and the slot 128 allows the firing rod 50 to rotate in relation to the rack 48.
[0077] In some aspects of the disclosure, the manual retract mechanism 52 includes a base member 130 that defines a circular bore 132. The base member 130 is secured to an upper surface of the gear casing 44 and the hub portion 84 of the crank lever 80 is aligned within the circular bore 132. The crank lever 80 is movable from a lowered position to a raised position. In the lowered position, the hub portion 84 of the crank lever 80 is received within the circular bore 132 and in the raised position, the hub portion 84 of the crank lever 80 is positioned above the circular bore 132 of the base member 130.
[0078] The head 96 of the rotating shaft 78 of the manual retract mechanism 52 is received within the bore 86 of the crank lever 80. When the crank lever 80 is in its lowered position, the cylindrical portion 102 of the rotating shaft 78 is received within the rectangular portion 86b (
[0079] The handle assembly 12 (
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[0087] The drive assembly 320 is coupled to the output shaft 324 of the motor assembly 318 and includes a one-way spur gear 328, a drive screw 330, a drive nut 332, connecting rods 334, a coupling member 336, a guide tube 338, and a gear casing 340. The gear casing 340 includes a mounting flange 342 and a cylindrical body 344. The mounting flange 342 of the gear casing 340 defines bores 346 that receive screws 348. The screws 348 are received in threaded bores 350 formed in a distal face of the motor assembly 318 to secure the gear casing 340 to the motor assembly 318. The cylindrical body 344 of the gear casing 340 defines a cavity 352 and a window 354 that communicates with the cavity 352. The cylindrical body 344 of the gear casing 340 defines two openings 356 (only one is shown) and two cutouts 358. One of the openings 356 and one of the cutouts 358 is positioned on each side of the window 354 in vertical alignment. The cavity 352 of the cylindrical body 344 of the gear casing 340 receives the one-way spur gear 328. The distal portion of the cylindrical body 344 of the gear casing 340 supports a bearing 359.
[0088] The one-way spur gear 328 defines a central through bore 360 that receives a bearing 362. In aspects of the disclosure, the central through bore 360 and the bearing 362 have corresponding non-circular configurations, e.g., D-shaped configurations, such that the bearing 362 is slidably received within the central through bore 360 of the one-way spur gear 328. The corresponding configurations of the one-way spur gear 328 and the bearing 362 rotatably fix the components to each other. The bearing 362 also defines a central through bore 364 that has a non-circular configuration.
[0089] The drive screw 330 includes a threaded outer surface 366, a proximal extension 368, and a distal extension 370. The proximal extension 368 of the drive screw 330 extends through the bearing 359 within the gear casing 340 and is received and secured within the central through bore 364 of the bearing 364. The distal extension 370 of the drive screw 330 is received within a bearing 372 that is supported within the housing 314 (
[0090] When the motor assembly 318 is activated to rotate the output shaft 324, rotation of the output shaft 324, when engaged with the one-way spur gear 328, causes corresponding rotation of the one-way spur gear 328. As described above, the one-way spur gear 328 is rotatably fixed to the bearing 362 which is secured to and rotatably fixed to the drive screw 330. As such, rotation of the one-way spur gear 328 causes corresponding rotation of the drive screw 330.
[0091] The drive nut 332 includes a threaded bore 374 that receives and is threadably engaged with the threaded outer surface 366 of the drive screw 330. The drive nut 332 is coupled to a proximal portion of the connecting rods 334. In aspects of the disclosure, the drive nut 332 includes protrusions 378 that are received within openings 380 formed in the proximal portions of the connecting rods 334 to connect the drive nut 332 to the connecting rods 334. The connecting rods 334 extend distally from the drive nut 332 and include distal portions that are connected to the coupling member 336. In aspects of the disclosure, the coupling member 336 includes protrusions 384 that are received within openings 386 formed in the distal portions of the connecting rods 334 to connect the coupling member 336 to the connecting rods 334. The drive nut 332 and the connecting rods 334 are received within the guide tube 338.
[0092] When the drive screw 330 is rotated, engagement between the outer threaded surface 366 of the drive screw 330 and the inner threaded bore 374 of the drive nut 332 causes the drive nut 332 to translate longitudinally along the drive screw 330 within the guide tube 338. The drive nut 332 is connected to the connecting rods 334 such that longitudinal translation of the drive nut 332 along the drive screw 330 causes the connecting rods 334 to move longitudinally within the guide tube to advance to coupling member 336.
[0093] The coupling member 336 is coupled to a firing rod 382 such that longitudinal movement of the coupling member 336 causes longitudinal movement of the firing rod 382. In aspects of the disclosure, the firing rod 382 includes a head portion 384 and an elongate body 386. The head portion 384 has a diameter that is greater than a diameter of the elongate body 386. The coupling member 336 defines a slot 390 that has a width that is greater than the diameter of the elongate body 386 but less than the diameter of the head portion 384. The elongate body 386 of the firing rod 382 is received through the slot 390 in the coupling member 336 to axially fix the firing rod 382 to the coupling member 336 while allowing relative rotation of the firing rod 382 and the coupling member 336.
[0094] The one-way spur gear 328 is movably positioned within the cavity 352 of the cylindrical body 344 of the gear casing 340 between a retracted position (
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[0096] The locking clip 412 has a rectangular shape and includes a base portion 426 and spaced legs 428 that extend upwardly from the base portion 426. Each of the legs 428 of the locking clip 412 includes a stepped inner surface 430 that includes a first surface 430a and a second surface 430b. The first surfaces 430a of the legs 428 define a first width X.sub.1 and the second surfaces 430b define a second width X.sub.2 that is greater than the first width X.sub.2. Each of the legs 428 is received through one of the openings 356 and cutouts 358 of the gear casing 340 such that the stepped inner surfaces 430 of the legs 428 of the locking clip 412 are positioned within the cavity 352 of the gear casing 340. The locking clip 322 is movable from a first position (
[0097] The base portion 426 of the locking clip 322 includes a protrusion 434 that is received within the circular slot 422 in the body portion 416 of the pawl assembly 410. Receipt of the protrusion 434 couples the pawl assembly 410 to the locking clip 322 to retain the pawl assembly 410 in a stable position about the gear casing 340. In aspects of the disclosure, the protrusion 434 has an enlarged head and the circular slot includes overhanging ledges that retain the enlarged head of the protrusion 434 within the circular slot 422. The protrusion 434 is configured to slide within the circular slot 422 as described in further detail below.
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[0099] In the pre-fired position of the handle assembly 12 (
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[0101] When the tool assembly 16 is in the clamped and fired position (
[0102] After the one-way spur gear 328 is in its advanced position, the handle 414 of the pawl assembly 322 can be rotated in the direction of arrow “M” in
[0103] Persons skilled in the art will understand that the devices and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary embodiments. It is envisioned that the elements and features illustrated or described in connection with one exemplary embodiment may be combined with the elements and features of another without departing from the scope of the disclosure. As well, one skilled in the art will appreciate further features and advantages of the disclosure based on the above-described embodiments. Accordingly, the disclosure is not to be limited by what has been particularly shown and described, except as indicated by the appended claims.