Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
An adapter assembly selectively interconnects a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector. The end effector includes a first axially translatable drive member and a second axially translatable drive member. The surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.
1. An electromechanical surgical system, comprising:
a hand-held surgical device including:
a device housing; and
a first rotatable drive member rotatably supported by the device housing;
an end effector having a first axially translatable drive member; and
an adapter assembly for selectively interconnecting the end effector and the hand-held surgical device, the adapter assembly including:
an adapter housing configured to selectively connect to the hand-held surgical device;
an outer tube having a proximal portion coupled to the adapter housing and a distal portion configured to selectively connect to the end effector; and
a first drive converter assembly including:
a first distal drive shaft rotatably supported in the adapter housing and having a proximal portion connectable to the first rotatable drive member;
a drive coupling nut non-rotatably supported in the adapter housing and threadably connected to a threaded distal portion of the first distal drive shaft; and
a drive tube having a proximal portion connected to the drive coupling nut and a distal portion configured to selectively engage the first axially translatable drive member, wherein rotation of the first rotatable drive member rotates the first distal drive shaft, and rotation of the first distal drive shaft axially translates the drive coupling nut, the drive tube, and the first axially translatable drive member.
2. The electromechanical surgical system according to claim 1 , wherein the first drive converter assembly further includes:
a first gear keyed to the proximal portion of the first distal drive shaft;
a proximal rotatable drive shaft having a second gear supported on a distal portion thereof and a proximal portion connectable to the first rotatable drive member; and
a third gear coupling the first and second gears.
3. The electromechanical surgical system according to claim 2 , further comprising a connector sleeve interconnecting the first rotatable drive member with the proximal rotatable drive shaft.
4. The electromechanical surgical system according to claim 1 , wherein translation of the first axially translatable drive member closes the end effector and ejects a fastener disposed in the end effector.
5. The electromechanical surgical system according to claim 1 , wherein the adapter assembly includes a second drive converter assembly, the second drive converter assembly including:
a proximal drive shaft rotatably supported in the adapter housing and having a proximal portion connectable to a second rotatable drive shaft of the hand-held surgical device;
a coupling cuff rotatably and translatably supported in the adapter housing, the coupling cuff defining an inner annular race;
a coupling slider rotatably disposed within the inner annular race of the coupling cuff and threadably connected to a threaded distal portion of the proximal drive shaft; and
a drive bar having a proximal portion connected to the coupling cuff and a distal portion configured to selectively engage a second axially translatable drive member of the end effector, wherein rotation of the second rotatable drive shaft rotates the proximal drive shaft, and rotation of the proximal drive shaft axially translates the coupling slider, the coupling cuff, the drive bar, and the second axially translatable drive member.
6. The electromechanical surgical system according to claim 5 , wherein the first distal drive shaft extends through the coupling cuff, such that the coupling cuff is rotatable about the first distal drive shaft.
7. The electromechanical surgical system according to claim 5 , further comprising a connector sleeve interconnecting the second rotatable drive shaft with the proximal drive shaft.
8. The electromechanical surgical system according to claim 5 , wherein translation of the second axially translatable drive member articulates the end effector relative to the adapter assembly.
9. The electromechanical surgical system according to claim 1 , wherein the adapter assembly further includes a drive transmitting assembly, the drive transmitting assembly including:
a proximal drive shaft rotatably supported in the adapter housing, the proximal drive shaft having a spur gear supported on a distal portion thereof and a proximal portion connectable to a second rotatable drive shaft of the hand-held surgical device;
a ring gear rotatably supported in the adapter housing and defining an internal array of gear teeth that are engaged with the spur gear;
a rotation housing rotatably supported in the adapter housing and keyed to the ring gear; and
a rotation transmitting bar having a proximal portion connected to the rotation housing and a distal portion connected to a distal coupling assembly, the distal coupling assembly configured to selectively connect with the end effector, wherein rotation of the second rotatable drive shaft rotates the proximal drive shaft, and rotation of the proximal drive shaft results in rotation of the ring gear, the rotation housing, the rotation transmitting bar and the distal coupling assembly to rotate the end effector relative to the adapter assembly and about a longitudinal axis defined by the adapter assembly.
10. The electromechanical surgical system according to claim 9 , further comprising a connector sleeve interconnecting the second rotatable drive shaft with the proximal drive shaft.