JP2015112485A - 電気機械外科用デバイスと外科用ローディングユニットとを相互接続するためのアダプタアセンブリ、および、その外科用システム - Google Patents
電気機械外科用デバイスと外科用ローディングユニットとを相互接続するためのアダプタアセンブリ、および、その外科用システム Download PDFInfo
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Abstract
【解決手段】機能を実施するように構成されている外科用ローディングユニット300と、ローディングユニットを作動させるように構成されている外科用デバイス100とを選択的に相互接続するためのアダプタアセンブリ200が、提供される。ローディングユニットは、少なくとも1つの軸方向並進可能な駆動部材を含み得、外科用デバイスは、少なくとも1つの回転可能な駆動シャフトを含み得る。
【選択図】図1A
Description
本願は、米国仮特許出願第61/913,550号(2013年12月9日出願)の利益、および、その優先権を主張し、その全体の開示は、本明細書中に参照によって援用される。
(1.技術分野)
本開示は、外科用システムにおける使用のためのアダプタアセンブリに関連する。より具体的には、本開示は、電気機械外科用デバイスおよび外科用ローディングユニットと共に使用され、かつ、電気機械外科用デバイスと外科用ローディングユニットとを電気的かつ機械的に相互接続するために使用されるアダプタアセンブリ、ならびに、手持ち式電気機械外科用デバイスと、外科用ローディングユニットを手持ち式電気機械外科用デバイスに接続するためのアダプタアセンブリとを含む外科用システムに関連する。
数多くの外科用デバイス製造者が、電気機械外科用デバイスを動作させかつ/または操作するための専有の駆動システムを有する製品ラインを開発してきた。多くの例において、電気機械外科用デバイスは、再使用可能なハンドルアセンブリと、使い捨てローディングユニットおよび/または単回使用ローディングユニットまたは同様のものとを含み、その使い捨てローディングユニットおよび/または単回使用ローディングユニットまたは同様のものは、使用の前に、ハンドルアセンブリに選択的に接続され、それから、処分するために、または、いくつかの例において再使用のために殺菌するために、使用後、ハンドルアセンブリから接続解除される。
(項目1)
機能を実施するように構成されている外科用ローディングユニットと、該ローディングユニットを作動させるように構成されている外科用デバイスとを選択的に相互接続するためのアダプタアセンブリであって、該ローディングユニットは、軸方向並進可能な駆動部材を含み、該外科用デバイスは、回転可能な駆動シャフトを含み、該アダプタアセンブリは、
該外科用デバイスとの接続のために構成されて適合させられ、かつ、該外科用デバイスの各回転可能な駆動シャフトと動作可能に連絡するように構成されて適合させられたハウジングと、
該ハウジングによって支持された近位端と、該ローディングユニットとの接続のために構成されて適合させられた遠位端とを有する外側チューブであって、該外側チューブの該遠位端は、該ローディングユニットの少なくとも1つの軸方向並進可能な駆動部材の各々と動作可能に連絡している、外側チューブと、
該外科用デバイスの対応する1つの駆動シャフトと該ローディングユニットの対応する1つの軸方向並進可能な駆動部材とを相互接続するための少なくとも1つの力/回転−伝動/変換アセンブリであって、該少なくとも1つの力/回転−伝動/変換アセンブリは、
該外科用デバイスの対応する回転可能な駆動シャフトに接続可能な近位回転受取部材と、
該ローディングユニットの軸方向並進可能な駆動部材に接続可能な遠位力伝動部材であって、該遠位力伝動部材は、該近位回転受取部材の回転が該遠位力伝動部材の軸方向並進に変換されるように、該近位回転受取部材に接続されている、遠位力伝動部材と
を含む、少なくとも1つの力/回転−伝動/変換アセンブリと
を備え、該少なくとも1つの力/回転−伝動/変換アセンブリは、該外科用デバイスの第1の回転可能な駆動シャフトの回転を該ローディングユニットの第1の軸方向並進可能な駆動部材の軸方向並進に変換して伝動する、アダプタアセンブリ。
(項目2)
前記少なくとも1つの力/回転−伝動/変換アセンブリは、第1の力/回転−伝動/変換アセンブリを含み、該第1の力/回転−伝動/変換アセンブリの前記近位回転受取部材は、ねじ山を付けられた遠位端を規定する第1の近位駆動シャフトを含み、該第1の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、該第1の近位駆動シャフトの該ねじ山を付けられた遠位端にねじ式に接続された遠位駆動部材を含む、上記項目に記載のアダプタアセンブリ。
(項目3)
前記第1の近位駆動シャフトおよび前記遠位駆動部材は、互いに軸方向に整列させられ、前記外科用デバイスの前記対応する回転可能な駆動シャフトの回転軸と整列させられている、上記項目のいずれかに記載のアダプタアセンブリ。
(項目4)
前記第1の力/回転−伝動/変換アセンブリと関連付けられた、前記外科用デバイスの前記回転可能な駆動シャフトの回転は、該第1の力/回転−伝動/変換アセンブリの前記第1の回転可能な駆動シャフトの回転をもたらし、該回転は、該第1の力/回転−伝動/変換アセンブリの前記遠位駆動部材の軸方向並進をもたらす、上記項目のいずれかに記載のアダプタアセンブリ。
(項目5)
前記少なくとも1つの力/回転−伝動/変換アセンブリは、第2の力/回転−伝動/変換アセンブリを含み、該第2の力/回転−伝動/変換アセンブリの前記近位回転受取部材は、ねじ山を付けられた遠位端を規定する第2の近位駆動シャフトを含み、該第2の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、ベアリングアセンブリを含み、該ベアリングアセンブリは、該第2の近位駆動シャフトの該ねじ山を付けられた遠位端にねじ式に接続された外輪を有し、前記ハウジング内に非回転可能に配置されている、上記項目のいずれかに記載のアダプタアセンブリ。
(項目6)
前記ベアリングアセンブリは、内輪を含み、前記第2の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、関節接合バーを含み、該関節接合バーは、該ベアリングアセンブリの該内輪に固定された近位端と、前記ローディングユニットの第2の軸方向並進可能な駆動部材に選択的に係合するように構成された遠位端とを有する、上記項目のいずれかに記載のアダプタアセンブリ。
(項目7)
前記第1の力/回転−伝動/変換アセンブリの少なくとも一部は、前記第2の力/回転−伝動/変換アセンブリの前記ベアリングアセンブリを通って延びている、上記項目のいずれかに記載のアダプタアセンブリ。
(項目8)
関節接合バーは、前記第1の力/回転−伝動/変換アセンブリの周りで回転可能である、上記項目のいずれかに記載のアダプタアセンブリ。
(項目9)
前記第2の力/回転−伝動/変換アセンブリと関連付けられた、前記外科用デバイスの前記回転可能な駆動シャフトの回転は、該第2の力/回転−伝動/変換アセンブリの前記第2の回転可能な駆動シャフトの回転をもたらし、該回転は、該第2の力/回転−伝動/変換アセンブリの関節接合バーの軸方向並進をもたらす、上記項目のいずれかに記載のアダプタアセンブリ。
(項目10)
前記少なくとも1つの力/回転−伝動/変換アセンブリは、第3の力/回転−伝動/変換アセンブリを含み、該第3の力/回転−伝動/変換アセンブリの前記近位回転受取部材は、第3の近位駆動シャフトを含み、該第3の近位駆動シャフトは、その遠位端に支持された平歯車を有し、該第3の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、リング歯車を含み、該リング歯車は、前記ハウジングにしっかりと支持され、該平歯車と歯車接続している、上記項目のいずれかに記載のアダプタアセンブリ。
(項目11)
前記第3の力/回転−伝動/変換アセンブリと関連付けられた、前記外科用デバイスの前記回転可能な駆動シャフトの回転は、該第3の力/回転−伝動/変換アセンブリの前記第3の回転可能な駆動シャフトの回転をもたらし、該回転は、該第3の力/回転−伝動/変換アセンブリの前記リング歯車の回転をもたらす、上記項目のいずれかに記載のアダプタアセンブリ。
(項目12)
前記ハウジングおよび前記外側チューブのうちの少なくとも1つ内に支持された電気アセンブリをさらに備え、該電気アセンブリは、
回路基板と、
該回路基板に電気的に接続された少なくとも1つの接触ピンであって、該接触ピンは、前記外科用デバイスの相補的電気プラグに選択的に電気的に接続するように構成されて適合させられている、接触ピンと、
該回路基板に支持され、該回路基板に電気的に接続されたひずみゲージであって、前記第1の回転可能な近位駆動シャフトは、該ひずみゲージを通って延びている、ひずみゲージと、
前記第1の力/回転−伝動/変換アセンブリの前記遠位駆動部材の周りに配置されたスリップリングであって、該スリップリングは、該回路基板と電気接続しており、該スリップリングは、該アダプタアセンブリ内の少なくとも1つの電気構成要素との電気接触を維持するために、該スリップリングに支持された電気接触部を含む、スリップリングと
を含む、上記項目のいずれかに記載のアダプタアセンブリ。
(項目13)
前記第1の近位駆動シャフト、前記第2の近位駆動シャフト、および、前記第3の近位駆動シャフトは、互いに共通の面に配列されている、上記項目のいずれかに記載のアダプタアセンブリ。
本開示は、電気機械外科用デバイスおよび外科用ローディングユニットと共に使用され、かつ、電気機械外科用デバイスと外科用ローディングユニットとを電気的かつ機械的に相互接続するために使用されるアダプタアセンブリ、ならびに、手持ち式電気機械外科用デバイスと、外科用ローディングユニットを手持ち式電気機械外科用デバイスに接続するためのアダプタアセンブリとを含む外科用システムに関連する。
本開示の外科用デバイス、アダプタアセンブリ、ならびに、外科用デバイスおよび/またはハンドルアセンブリのためのローディングユニット検出アセンブリの実施形態は、図面を参照して詳細に説明され、図面において、同様の参照数字は、いくつかの図の各々において同一のまたは対応する要素を指定する。本明細書において使用される場合、用語「遠位」は、アダプタアセンブリまたは外科用デバイス、または、その構成要素の、ユーザからより遠い部分を示す一方、用語「近位」は、アダプタアセンブリまたは外科用デバイス、または、その構成要素の、ユーザにより近い部分を示す。
Claims (13)
- 機能を実施するように構成されている外科用ローディングユニットと、該ローディングユニットを作動させるように構成されている外科用デバイスとを選択的に相互接続するためのアダプタアセンブリであって、該ローディングユニットは、軸方向並進可能な駆動部材を含み、該外科用デバイスは、回転可能な駆動シャフトを含み、該アダプタアセンブリは、
該外科用デバイスとの接続のために構成されて適合させられ、かつ、該外科用デバイスの各回転可能な駆動シャフトと動作可能に連絡するように構成されて適合させられたハウジングと、
該ハウジングによって支持された近位端と、該ローディングユニットとの接続のために構成されて適合させられた遠位端とを有する外側チューブであって、該外側チューブの該遠位端は、該ローディングユニットの少なくとも1つの軸方向並進可能な駆動部材の各々と動作可能に連絡している、外側チューブと、
該外科用デバイスの対応する1つの駆動シャフトと該ローディングユニットの対応する1つの軸方向並進可能な駆動部材とを相互接続するための少なくとも1つの力/回転−伝動/変換アセンブリであって、該少なくとも1つの力/回転−伝動/変換アセンブリは、
該外科用デバイスの対応する回転可能な駆動シャフトに接続可能な近位回転受取部材と、
該ローディングユニットの軸方向並進可能な駆動部材に接続可能な遠位力伝動部材であって、該遠位力伝動部材は、該近位回転受取部材の回転が該遠位力伝動部材の軸方向並進に変換されるように、該近位回転受取部材に接続されている、遠位力伝動部材と
を含む、少なくとも1つの力/回転−伝動/変換アセンブリと
を備え、該少なくとも1つの力/回転−伝動/変換アセンブリは、該外科用デバイスの第1の回転可能な駆動シャフトの回転を該ローディングユニットの第1の軸方向並進可能な駆動部材の軸方向並進に変換して伝動する、アダプタアセンブリ。 - 前記少なくとも1つの力/回転−伝動/変換アセンブリは、第1の力/回転−伝動/変換アセンブリを含み、該第1の力/回転−伝動/変換アセンブリの前記近位回転受取部材は、ねじ山を付けられた遠位端を規定する第1の近位駆動シャフトを含み、該第1の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、該第1の近位駆動シャフトの該ねじ山を付けられた遠位端にねじ式に接続された遠位駆動部材を含む、請求項1に記載のアダプタアセンブリ。
- 前記第1の近位駆動シャフトおよび前記遠位駆動部材は、互いに軸方向に整列させられ、前記外科用デバイスの前記対応する回転可能な駆動シャフトの回転軸と整列させられている、請求項2に記載のアダプタアセンブリ。
- 前記第1の力/回転−伝動/変換アセンブリと関連付けられた、前記外科用デバイスの前記回転可能な駆動シャフトの回転は、該第1の力/回転−伝動/変換アセンブリの前記第1の回転可能な駆動シャフトの回転をもたらし、該回転は、該第1の力/回転−伝動/変換アセンブリの前記遠位駆動部材の軸方向並進をもたらす、請求項2に記載のアダプタアセンブリ。
- 前記少なくとも1つの力/回転−伝動/変換アセンブリは、第2の力/回転−伝動/変換アセンブリを含み、該第2の力/回転−伝動/変換アセンブリの前記近位回転受取部材は、ねじ山を付けられた遠位端を規定する第2の近位駆動シャフトを含み、該第2の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、ベアリングアセンブリを含み、該ベアリングアセンブリは、該第2の近位駆動シャフトの該ねじ山を付けられた遠位端にねじ式に接続された外輪を有し、前記ハウジング内に非回転可能に配置されている、請求項2に記載のアダプタアセンブリ。
- 前記ベアリングアセンブリは、内輪を含み、前記第2の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、関節接合バーを含み、該関節接合バーは、該ベアリングアセンブリの該内輪に固定された近位端と、前記ローディングユニットの第2の軸方向並進可能な駆動部材に選択的に係合するように構成された遠位端とを有する、請求項5に記載のアダプタアセンブリ。
- 前記第1の力/回転−伝動/変換アセンブリの少なくとも一部は、前記第2の力/回転−伝動/変換アセンブリの前記ベアリングアセンブリを通って延びている、請求項5に記載のアダプタアセンブリ。
- 関節接合バーは、前記第1の力/回転−伝動/変換アセンブリの周りで回転可能である、請求項7に記載のアダプタアセンブリ。
- 前記第2の力/回転−伝動/変換アセンブリと関連付けられた、前記外科用デバイスの前記回転可能な駆動シャフトの回転は、該第2の力/回転−伝動/変換アセンブリの前記第2の回転可能な駆動シャフトの回転をもたらし、該回転は、該第2の力/回転−伝動/変換アセンブリの関節接合バーの軸方向並進をもたらす、請求項5に記載のアダプタアセンブリ。
- 前記少なくとも1つの力/回転−伝動/変換アセンブリは、第3の力/回転−伝動/変換アセンブリを含み、該第3の力/回転−伝動/変換アセンブリの前記近位回転受取部材は、第3の近位駆動シャフトを含み、該第3の近位駆動シャフトは、その遠位端に支持された平歯車を有し、該第3の力/回転−伝動/変換アセンブリの前記遠位力伝動部材は、リング歯車を含み、該リング歯車は、前記ハウジングにしっかりと支持され、該平歯車と歯車接続している、請求項9に記載のアダプタアセンブリ。
- 前記第3の力/回転−伝動/変換アセンブリと関連付けられた、前記外科用デバイスの前記回転可能な駆動シャフトの回転は、該第3の力/回転−伝動/変換アセンブリの前記第3の回転可能な駆動シャフトの回転をもたらし、該回転は、該第3の力/回転−伝動/変換アセンブリの前記リング歯車の回転をもたらす、請求項10に記載のアダプタアセンブリ。
- 前記ハウジングおよび前記外側チューブのうちの少なくとも1つ内に支持された電気アセンブリをさらに備え、該電気アセンブリは、
回路基板と、
該回路基板に電気的に接続された少なくとも1つの接触ピンであって、該接触ピンは、前記外科用デバイスの相補的電気プラグに選択的に電気的に接続するように構成されて適合させられている、接触ピンと、
該回路基板に支持され、該回路基板に電気的に接続されたひずみゲージであって、前記第1の回転可能な近位駆動シャフトは、該ひずみゲージを通って延びている、ひずみゲージと、
前記第1の力/回転−伝動/変換アセンブリの前記遠位駆動部材の周りに配置されたスリップリングであって、該スリップリングは、該回路基板と電気接続しており、該スリップリングは、該アダプタアセンブリ内の少なくとも1つの電気構成要素との電気接触を維持するために、該スリップリングに支持された電気接触部を含む、スリップリングと
を含む、請求項10に記載のアダプタアセンブリ。 - 前記第1の近位駆動シャフト、前記第2の近位駆動シャフト、および、前記第3の近位駆動シャフトは、互いに共通の面に配列されている、請求項10に記載のアダプタアセンブリ。
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