JP6239867B2 - 手持ち式外科手術ハンドルアセンブリ、外科手術ハンドルアセンブリと外科手術エンドエフェクタとの間に用いられる外科手術アダプタ、および使用方法 - Google Patents
手持ち式外科手術ハンドルアセンブリ、外科手術ハンドルアセンブリと外科手術エンドエフェクタとの間に用いられる外科手術アダプタ、および使用方法 Download PDFInfo
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- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
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- F16H—GEARING
- F16H25/00—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms
- F16H25/18—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms for conveying or interconverting oscillating or reciprocating motions
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- F16H—GEARING
- F16H25/00—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms
- F16H25/18—Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms for conveying or interconverting oscillating or reciprocating motions
- F16H25/20—Screw mechanisms
- F16H2025/2043—Screw mechanisms driving an oscillating lever, e.g. lever with perpendicular pivoting axis
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Description
本出願は、2012年6月1日に出願された米国仮出願第61/654,191の利益および優先権を主張する。上記文献の全ての内容は、参照することによって本明細書において援用される。
1.技術分野
本開示は、外科手術デバイスおよび/またはシステム、外科手術アダプタ、並びにそれらの使用方法に関する。特に、本開示は、手持ち式動力付きの外科手術デバイス、外科手術アダプタ、並びに/または、動力付きの回転および/または関節運動する外科手術デバイスまたはハンドルアセンブリと、組織をクランプで締め、切断し、および/またはステープルで留めるエンドエフェクタとの間に用いられ、かつ、それらを相互接続するアダプタアセンブリに関する。
1つのタイプの外科手術デバイスは、線形のクランピング、切断、およびステープリングデバイスである。このようなデバイスは、胃腸管からがん性組織または異常な組織を切除する外科手術処置において使用され得る。従来の線形のクランピング、切断、およびステープリング器具は、細長いシャフトと遠位部分とを有するピストル把持型構造を含む。遠位部分は、1対のはさみ型把持要素を含み、1対のはさみ型把持要素は、結腸の開放端をクランプで締めて閉じた状態にする。このデバイスにおいて、2つのはさみ型把持要素のうちの一方(例えば、アンビル部分)は、構造の全体に対して移動または旋回するが、他方の把持要素は、構造の全体に対して固定のままである。このはさみデバイスの作動(アンビル部分の旋回)は、ハンドルの中に維持された把持トリガーによって制御される。
本開示は、デバイスハウジングと、少なくとも1つの駆動モータと、バッテリーと、回路ボードと、エンドエフェクタと、アダプタアセンブリとを含む外科手術デバイスに関する。デバイスハウジングは、アダプタアセンブリと選択的に接続するための接続部分を規定する。少なくとも1つの駆動モータは、デバイスハウジングの中に支持され、かつ、少なくとも1つの駆動シャフトを回転させるように構成されている。バッテリーは、少なくとも1つの駆動モータと電気的に連絡するように配置されている。回路ボードは、バッテリーから少なくとも1つの駆動モータに伝達される電力を制御するために、ハウジング内に配置されている。エンドエフェクタは、少なくとも1つの機能を実行するように構成され、少なくとも1つの軸方向に並進可能な駆動部材を含む。アダプタアセンブリは、エンドエフェクタとデバイスハウジングとを選択的に相互接続するためのものであり、ノブハウジングと少なくとも1つの駆動コンバータアセンブリとを含む。ノブハウジングは、デバイスハウジングへの選択的接続のために、少なくとも1つの回転可能な駆動シャフトの各々と動作可能に連絡するように構成および適合されている。少なくとも1つの駆動コンバータアセンブリは、少なくとも1つの回転可能な駆動シャフトのそれぞれと、エンドエフェクタの少なくとも1つの軸方向に並進可能な駆動部材のうちの1つとを相互接続するためのものである。少なくとも1つの駆動コンバータアセンブリは、回転可能な駆動シャフトの回転を、エンドエフェクタの少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進に変換および伝送する。少なくとも1つの駆動コンバータアセンブリは、第1の駆動コンバータアセンブリを含み、第1の駆動コンバータアセンブリは、第1の駆動要素と、ナットと、関節運動スリーブと、関節運動ベアリングと、関節運動リンクとを含む。第1の駆動要素は、ノブハウジングの中に回転可能に支持されている。第1の駆動要素の近位端は、回転可能な駆動シャフトと係合可能である。ナットは、第1の駆動要素のネジ付き遠位部分にネジ連結可能に接続されている。関節運動スリーブの近位部分は、ナットと機械的に協働するように配置されている。関節運動ベアリングは、関節運動スリーブの遠位部分と機械的に協働するように配置されている。関節運動リンクの近位部分は、関節運動ベアリングと機械的に協働するように配置されている。関節運動リンクの遠位部分は、エンドエフェクタの少なくとも1つの軸方向に並進可能な駆動部材との選択的係合のために構成されている。回転可能な駆動シャフトの回転は、結果として第1の駆動要素の回転をもたらす。第1の駆動要素の回転は、結果としてナット、関節運動スリーブ、関節運動ベアリング、関節運動リンク、およびエンドエフェクタの少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進をもたらす。
本願明細書は、例えば、以下の項目も提供する。
(項目1)
外科手術デバイスであって、該外科手術デバイスは、
アダプタアセンブリと選択的に接続するための接続部分を規定するデバイスハウジングと、
該デバイスハウジングの中に支持され、かつ、少なくとも1つの駆動シャフトを回転させるように構成された少なくとも1つの駆動モータと、
該少なくとも1つの駆動モータと電気的に連絡するように配置されたバッテリーと、
該バッテリーから該少なくとも1つの駆動モータに伝達される電力を制御するために、該ハウジング内に配置された回路ボードと、
少なくとも1つの機能を実行するように構成されたエンドエフェクタであって、該エンドエフェクタは、少なくとも1つの軸方向に並進可能な駆動部材を含む、エンドエフェクタと、
該エンドエフェクタと該デバイスハウジングとを選択的に相互接続するためのアダプタアセンブリと
を含み、
該アダプタアセンブリは、
該デバイスハウジングへの選択的接続のために、該少なくとも1つの回転可能な駆動シャフトの各々と動作可能に連絡するように構成および適合されたノブハウジングと、
該少なくとも1つの回転可能な駆動シャフトのそれぞれと、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材のうちの1つとを相互接続するための少なくとも1つの駆動コンバータアセンブリと
を含み、
該少なくとも1つの駆動コンバータアセンブリは、該回転可能な駆動シャフトの回転を、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進に変換および伝送し、
該少なくとも1つの駆動コンバータアセンブリは、第1の駆動コンバータアセンブリを含み、該第1の駆動コンバータアセンブリは、
該ノブハウジングの中に回転可能に支持された第1の駆動要素であって、該第1の駆動要素の近位端は、該回転可能な駆動シャフトと係合可能である、第1の駆動要素と、
該第1の駆動要素のネジ付き遠位部分にネジ連結可能に接続されたナットと、
関節運動スリーブであって、該関節運動スリーブの近位部分は、該ナットと機械的に協働するように配置されている、関節運動スリーブと、
該関節運動スリーブの遠位部分と機械的に協働するように配置された関節運動ベアリングと、
関節運動リンクであって、該関節運動リンクの近位部分は、該関節運動ベアリングと機械的に協働するように配置されており、該関節運動リンクの遠位部分は、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材との選択的係合のために構成されている、関節運動リンクと
を含み、
該回転可能な駆動シャフトの回転は、結果として該第1の駆動要素の回転をもたらし、該第1の駆動要素の回転は、結果として該ナット、該関節運動スリーブ、該関節運動ベアリング、該関節運動リンク、および該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進をもたらす、外科手術デバイス。
(項目2)
上記関節運動ベアリングは、上記ノブハウジングに対する軸方向の、および回転可能な移動のために構成されている、上記項目に記載の外科手術デバイス。
(項目3)
上記関節運動スリーブの遠位部分は、上記関節運動ベアリングの半径方向内側部分と機械的に協働するように配置されている、上記項目のいずれかに記載の外科手術デバイス。
(項目4)
上記関節運動リンクの近位部分は、上記関節運動ベアリングの半径方向外側部分と機械的に協働するように配置されている、上記項目のいずれかに記載の外科手術デバイス。
(項目5)
第2の駆動コンバータアセンブリをさらに含み、該第2の駆動コンバータアセンブリは、
上記ノブハウジングの中に回転可能に支持された第2の駆動要素であって、該第2の駆動要素の近位端は、上記外科手術デバイスの第2の回転可能な駆動シャフトに接続可能である、第2の駆動要素と、
該第2の駆動要素の遠位部分と機械的に協働するように配置された第1のギアと、
該第1のギアと機械的に協働するように配置された第2のギアと、
該第2のギアと機械的に協働するように配置され、かつ、該エンドエフェクタと機械的に協働するように配置されたギアリングであって、該ギアリングは、該ノブハウジングに対する回転から固定されている、ギアリングと
を含み、
該第2の回転可能な駆動シャフトの回転は、該第1のギアの回転を引き起こし、該第1のギアの回転は、該第2のギアの回転を引き起こし、該第2のギアの回転は、該ギアリングの回転を引き起こし、該ギアリングの回転は、該エンドエフェクタの回転を引き起こす、上記項目のいずれかに記載の外科手術デバイス。
(項目6)
上記ノブハウジングは、駆動結合ハウジングを含み、該駆動結合ハウジングは、該ノブハウジングの残部に対して回転可能である、上記項目のいずれかに記載の外科手術デバイス。
(項目7)
回転ベアリングをさらに含み、上記駆動結合ハウジングは、該回転ベアリングに回転可能に固定されており、上記ノブハウジングは、該回転ベアリングに対して回転可能である、上記項目のいずれかに記載の外科手術デバイス。
(項目8)
上記ギアリングは、該ギアリングの内側周囲の周りに配置された複数の歯を含む、上記項目のいずれかに記載の外科手術デバイス。
(項目9)
上記関節運動リンクの遠位部分は、該遠位部分の中にスロットを含み、該スロットは、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の一部を解放可能に受け取るように構成されている、上記項目のいずれかに記載の外科手術デバイス。
(項目10)
上記スロットは、テーパー状の開口部を含む、上記項目のいずれかに記載の外科手術デバイス。
(項目11)
外科手術エンドエフェクタと、少なくとも1つの回転可能な駆動シャフトを有するハンドルアセンブリ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、該アダプタアセンブリは、
ハンドルアセンブリへの選択的接続のために構成および適合されたノブハウジングであって、該ノブハウジングは、駆動接合ハウジングを含む、ノブハウジングと、
該少なくとも1つの回転可能な駆動シャフトのそれぞれと、該外科手術エンドエフェクタの一部とを相互接続するための少なくとも1つの駆動コンバータアセンブリと
を含み、
該少なくとも1つの駆動コンバータアセンブリは、該回転可能な駆動シャフトの回転を、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進に変換および伝送し、
該少なくとも1つの駆動コンバータアセンブリは、第1の駆動コンバータアセンブリを含み、該第1の駆動コンバータアセンブリは、
該アダプタハウジングの中に回転可能に支持された駆動要素と、
該駆動要素の遠位部分と機械的に協働するように配置された第1のギアと、
該第1のギアと機械的に協働するように配置された第2のギアと、
該第2のギアと機械的に協働するように配置され、かつ、該アダプタアセンブリのエンドエフェクタの係合部分と機械的に協働するように配置されたギアリングであって、該ギアリングは、該アダプタハウジングに対する回転から固定されている、ギアリングと、
回転ベアリングと
を含み、
該駆動結合ハウジングは、該回転ベアリングに回転可能に固定されており、該ノブハウジングは、該回転ベアリングに対して回転可能であり、
該駆動要素の回転は、該第1のギアの回転を引き起こし、該第1のギアの回転は、該第2のギアの回転を引き起こし、該第2のギアの回転は、該ギアリングの回転を引き起こし、該ギアリングの回転は、該アダプタアセンブリの該エンドエフェクタの係合部分の回転を引き起こす、アダプタアセンブリ。
(項目12)
上記ギアリングは、該ギアリングの内側周囲の周りに配置された複数の歯を含む、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)
上記駆動結合ハウジングは、上記ノブハウジングの残部に対して回転可能である、上記項目のいずれかに記載のアダプタアセンブリ。
(項目14)
第2の駆動コンバータアセンブリをさらに含み、該第2の駆動コンバータアセンブリは、
上記ノブハウジングの中に回転可能に支持された第2の駆動要素と、
該第2の駆動要素のネジ付き遠位部分にネジ連結可能に接続されたナットと、
関節運動スリーブであって、該関節運動スリーブの近位部分は、該ナットと機械的に協働するように配置されている、関節運動スリーブと、
該関節運動スリーブの遠位部分と機械的に協働するように配置された関節運動ベアリングと、
関節運動リンクであって、該関節運動リンクの近位部分は、該関節運動ベアリングと機械的に協働するように配置されており、該関節運動リンクの遠位部分は、該エンドエフェクタの一部との選択的係合のために構成されている、関節運動リンクと
を含み、
該第2の駆動要素の回転は、結果として該ナット、該関節運動スリーブ、該関節運動ベアリングおよび該関節運動リンク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15)
上記関節運動ベアリングは、上記ノブハウジングに対する軸方向の、および回転可能な移動のために構成されている、上記項目のいずれかに記載のアダプタアセンブリ。
(項目16)
上記関節運動スリーブの遠位部分は、上記関節運動ベアリングの半径方向内側部分と機械的に協働するように配置されている、上記項目のいずれかに記載のアダプタアセンブリ。
(項目17)
上記関節運動リンクの近位部分は、上記関節運動ベアリングの半径方向外側部分と機械的に協働するように配置されている、上記項目のいずれかに記載のアダプタアセンブリ。
(摘要)
本開示は、エンドエフェクタとデバイスハウジングとを選択的に接続するためのアダプタアセンブリを含む外科手術デバイスに関する。アダプタアセンブリは、少なくとも1つの駆動コンバータアセンブリを含み、少なくとも1つの駆動コンバータアセンブリは、回転可能な駆動シャフトの回転を、エンドエフェクタの少なくとも1つの軸方向に並進可能な駆動シャフトの軸方向並進に変換および伝送する。第1の駆動コンバータアセンブリは、第1の駆動要素と、ナットと、関節運動スリーブと、関節運動ベアリングと、関節運動リンクとを含む。回転可能な駆動シャフトの回転は、結果として第1の駆動要素の回転をもたらす。第1の駆動要素の回転は、結果としてナット、関節運動スリーブ、関節運動ベアリング、関節運動リンク、およびエンドエフェクタの少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進をもたらす。
ここで開示された外科手術デバイスと、外科手術デバイスおよび/またはハンドルアセンブリのためのアダプタアセンブリとの実施形態は、図面を参照して詳細に説明され、同様の参照数字が、いくつかの図面のそれぞれにおいて同一または対応する要素を示す。本明細に使用されるように、用語「遠位」は、ユーザーからより遠いアダプタアセンブリまたは外科手術デバイス、またはそのコンポーネントの一部を指すが、用語「近位」は、ユーザーにより近いアダプタアセンブリまたは外科手術デバイス、またはそのコンポーネントの一部を指す。
マイクロLAN − シリアル1−ワイヤが、システムコンポーネントID情報を読み取る/書き込むように通信を輸送する。
ウルトラIDチップ − 外科手術デバイス100を識別し、使用情報を記録する。
バッテリーIDチップ − バッテリー156を識別し、使用情報を記録する。
アダプタIDチップ − アダプタ200のタイプを識別し、エンドエフェクタ300の存在を記録し、使用情報を記録する。
102 ハンドルハウジング
104 下部ハウジング部分
105 扉
107 トリガーハウジング
108a 接続部分
114 ノーズ円錐
132 発射ボタンまたは安全スイッチ
200 アダプタ
210 駆動結合アセンブリ
230 エンドエフェクタ結合アセンブリ
300 エンドエフェクタ
302 近位本体部分
304 ツールアセンブリ
306 アンビルアセンブリ
308 カートリッジアセンブリ
Claims (17)
- 外科手術デバイスであって、該外科手術デバイスは、
アダプタアセンブリと選択的に接続するための接続部分を規定するデバイスハウジングと、
該デバイスハウジングの中に支持され、かつ、少なくとも1つの駆動シャフトを回転させるように構成された少なくとも1つの駆動モータと、
該少なくとも1つの駆動モータと電気的に連絡するように配置されたバッテリーと、
該バッテリーから該少なくとも1つの駆動モータに伝達される電力を制御するために、該ハウジング内に配置された回路ボードと、
少なくとも1つの機能を実行するように構成されたエンドエフェクタであって、該エンドエフェクタは、少なくとも1つの軸方向に並進可能な駆動部材を含む、エンドエフェクタと、
該エンドエフェクタと該デバイスハウジングとを選択的に相互接続するためのアダプタアセンブリと
を含み、
該アダプタアセンブリは、
該デバイスハウジングへの選択的接続のために、該少なくとも1つの回転可能な駆動シャフトの各々と動作可能に連絡するように構成および適合されたノブハウジングと、
該少なくとも1つの回転可能な駆動シャフトのそれぞれと、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材のうちの1つとを相互接続するための少なくとも1つの駆動コンバータアセンブリと
を含み、
該少なくとも1つの駆動コンバータアセンブリは、該回転可能な駆動シャフトの回転を、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進に変換および伝送し、
該少なくとも1つの駆動コンバータアセンブリは、第1の駆動コンバータアセンブリを含み、該第1の駆動コンバータアセンブリは、
該ノブハウジングの中に回転可能に支持された第1の駆動要素であって、該第1の駆動要素の近位端は、該回転可能な駆動シャフトと係合可能である、第1の駆動要素と、
該第1の駆動要素のネジ付き遠位部分にネジ連結可能に接続されたナットと、
関節運動スリーブであって、該関節運動スリーブの近位部分は、該ナットと機械的に協働するように配置されている、関節運動スリーブと、
該関節運動スリーブの遠位部分と機械的に協働するように配置された関節運動ベアリングと、
関節運動リンクであって、該関節運動リンクの近位部分は、該関節運動ベアリングと機械的に協働するように配置されており、該関節運動リンクの遠位部分は、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材との選択的係合のために構成されている、関節運動リンクと
を含み、
該回転可能な駆動シャフトの回転は、結果として該第1の駆動要素の回転をもたらし、該第1の駆動要素の回転は、結果として該ナット、該関節運動スリーブ、該関節運動ベアリング、該関節運動リンク、および該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進をもたらす、外科手術デバイス。 - 前記関節運動ベアリングは、前記ノブハウジングに対する軸方向の、および回転可能な移動のために構成されている、請求項1に記載の外科手術デバイス。
- 前記関節運動スリーブの遠位部分は、前記関節運動ベアリングの半径方向内側部分と機械的に協働するように配置されている、請求項1に記載の外科手術デバイス。
- 前記関節運動リンクの近位部分は、前記関節運動ベアリングの半径方向外側部分と機械的に協働するように配置されている、請求項3に記載の外科手術デバイス。
- 第2の駆動コンバータアセンブリをさらに含み、該第2の駆動コンバータアセンブリは、
前記ノブハウジングの中に回転可能に支持された第2の駆動要素であって、該第2の駆動要素の近位端は、前記外科手術デバイスの第2の回転可能な駆動シャフトに接続可能である、第2の駆動要素と、
該第2の駆動要素の遠位部分と機械的に協働するように配置された第1のギアと、
該第1のギアと機械的に協働するように配置された第2のギアと、
該第2のギアと機械的に協働するように配置され、かつ、該エンドエフェクタと機械的に協働するように配置されたギアリングであって、該ギアリングは、該ノブハウジングに対する回転から固定されている、ギアリングと
を含み、
該第2の回転可能な駆動シャフトの回転は、該第1のギアの回転を引き起こし、該第1のギアの回転は、該第2のギアの回転を引き起こし、該第2のギアの回転は、該ギアリングの回転を引き起こし、該ギアリングの回転は、該エンドエフェクタの回転を引き起こす、請求項1に記載の外科手術デバイス。 - 前記ノブハウジングは、駆動結合ハウジングを含み、該駆動結合ハウジングは、該ノブハウジングの残部に対して回転可能である、請求項5に記載の外科手術デバイス。
- 回転ベアリングをさらに含み、前記駆動結合ハウジングは、該回転ベアリングに回転可能に固定されており、前記ノブハウジングは、該回転ベアリングに対して回転可能である、請求項6に記載の外科手術デバイス。
- 前記ギアリングは、該ギアリングの内側周囲の周りに配置された複数の歯を含む、請求項5に記載の外科手術デバイス。
- 前記関節運動リンクの遠位部分は、該遠位部分の中にスロットを含み、該スロットは、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の一部を解放可能に受け取るように構成されている、請求項1に記載の外科手術デバイス。
- 前記スロットは、テーパー状の開口部を含む、請求項9に記載の外科手術デバイス。
- 外科手術エンドエフェクタと、少なくとも1つの回転可能な駆動シャフトを有するハンドルアセンブリ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、該アダプタアセンブリは、
ハンドルアセンブリへの選択的接続のために構成および適合されたノブハウジングであって、該ノブハウジングは、駆動結合ハウジングを含む、ノブハウジングと、
該少なくとも1つの回転可能な駆動シャフトのそれぞれと、該外科手術エンドエフェクタの一部とを相互接続するための少なくとも1つの駆動コンバータアセンブリと
を含み、
該少なくとも1つの駆動コンバータアセンブリは、該回転可能な駆動シャフトの回転を、該エンドエフェクタの該少なくとも1つの軸方向に並進可能な駆動部材の軸方向並進に変換および伝送し、
該少なくとも1つの駆動コンバータアセンブリは、第1の駆動コンバータアセンブリを含み、該第1の駆動コンバータアセンブリは、
該ノブハウジングの中に回転可能に支持された駆動要素と、
該駆動要素の遠位部分と機械的に協働するように配置された第1のギアと、
該第1のギアと直接係合された第2のギアと、
該第2のギアと直接係合され、かつ、該アダプタアセンブリのエンドエフェクタの係合部分と機械的に協働するように配置されたギアリングであって、該ギアリングは、該ノブハウジングに対する回転から固定されている、ギアリングと、
回転ベアリングと
を含み、
該駆動結合ハウジングは、該回転ベアリングに回転可能に固定されており、該ノブハウジングは、該回転ベアリングに対して回転可能であり、
該駆動要素の回転は、該第1のギアの回転を引き起こし、該第1のギアの回転は、該第2のギアの回転を引き起こし、該第2のギアの回転は、該ギアリングの回転を引き起こし、該ギアリングの回転は、該アダプタアセンブリの該エンドエフェクタの係合部分の回転を引き起こす、アダプタアセンブリ。 - 前記ギアリングは、該ギアリングの内側周囲の周りに配置された複数の歯を含む、請求項11に記載のアダプタアセンブリ。
- 前記駆動結合ハウジングは、前記ノブハウジングの残部に対して回転可能である、請求項11に記載のアダプタアセンブリ。
- 第2の駆動コンバータアセンブリをさらに含み、該第2の駆動コンバータアセンブリは、
前記ノブハウジングの中に回転可能に支持された第2の駆動要素と、
該第2の駆動要素のネジ付き遠位部分にネジ連結可能に接続されたナットと、
関節運動スリーブであって、該関節運動スリーブの近位部分は、該ナットと機械的に協働するように配置されている、関節運動スリーブと、
該関節運動スリーブの遠位部分と機械的に協働するように配置された関節運動ベアリングと、
関節運動リンクであって、該関節運動リンクの近位部分は、該関節運動ベアリングと機械的に協働するように配置されており、該関節運動リンクの遠位部分は、該エンドエフェクタの一部との選択的係合のために構成されている、関節運動リンクと
を含み、
該第2の駆動要素の回転は、結果として該ナット、該関節運動スリーブ、該関節運動ベアリングおよび該関節運動リンクの軸方向並進をもたらす、請求項11に記載のアダプタアセンブリ。 - 前記関節運動ベアリングは、前記ノブハウジングに対する軸方向の、および回転可能な移動のために構成されている、請求項14に記載のアダプタアセンブリ。
- 前記関節運動スリーブの遠位部分は、前記関節運動ベアリングの半径方向内側部分と機械的に協働するように配置されている、請求項14に記載のアダプタアセンブリ。
- 前記関節運動リンクの近位部分は、前記関節運動ベアリングの半径方向外側部分と機械的に協働するように配置されている、請求項16に記載のアダプタアセンブリ。
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US13/875,571 US9597104B2 (en) | 2012-06-01 | 2013-05-02 | Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use |
US13/875,571 | 2013-05-02 |
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EP (2) | EP2668911B1 (ja) |
JP (1) | JP6239867B2 (ja) |
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EP3566661B1 (en) | 2024-03-13 |
EP3566661A1 (en) | 2019-11-13 |
CA2816279A1 (en) | 2013-12-01 |
EP2668911A3 (en) | 2016-06-29 |
JP2013248394A (ja) | 2013-12-12 |
CN103445817A (zh) | 2013-12-18 |
EP2668911A2 (en) | 2013-12-04 |
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