阅读说明：本技术 用于柔性环形吻合器的插入器械、接合器组件和保护器组件 (Insertion instrument, adaptor assembly and protector assembly for flexible annular stapler ) 是由 戴维·瑞森耐特 拉塞尔·普里巴尼奇 斯坦尼斯瓦夫·马尔奇克 于 2017-05-10 设计创作，主要内容包括：本发明公开了用于柔性环形吻合器的插入器械、接合器组件和保护器组件。提供了一种用于在将手术吻合器引入患者内期间保护所述手术吻合器的功能端的组件,所述组件包括：套筒,其具有近侧端和远侧端并且能够围绕细长主体被接收,所述套筒限定位于所述远侧端上的可膨胀腔,所述可膨胀腔构造成邻近所述细长主体的远侧端布置；以及注入口,其与所述可膨胀腔流体连通以用于使所述可膨胀腔选择性地膨胀。(The invention discloses an insertion instrument, an adaptor assembly and a protector assembly for a flexible annular stapler. An assembly for protecting a functional end of a surgical stapler during introduction of the surgical stapler into a patient is provided, the assembly comprising: a sleeve having a proximal end and a distal end and receivable about the elongate body, the sleeve defining an expandable lumen located on the distal end, the expandable lumen configured to be disposed adjacent the distal end of the elongate body; and an injection port in fluid communication with the expandable chamber for selectively expanding the expandable chamber.)

1. An assembly for protecting a functional end of a surgical stapler during introduction of the surgical stapler into a patient, the assembly comprising:

a sleeve having a proximal end and a distal end and receivable about the elongate body, the sleeve defining an expandable lumen located on the distal end, the expandable lumen configured to be disposed adjacent the distal end of the elongate body; and

an injection port in fluid communication with the expandable chamber for selectively expanding the expandable chamber.

2. The assembly of claim 1, wherein the sleeve further defines a weakened portion extending along a length of the sleeve.

3. The assembly of claim 1, wherein the sleeve includes a handle portion on the proximal end.

4. The assembly of claim 1, further comprising a source of infusion fluid.

5. The assembly of claim 4, wherein the source of infusion fluid is a syringe.

6. An assembly for protecting a functional end of a surgical stapler, the assembly comprising:

a sleeve having a proximal end and a distal end; and

a cap member secured to the distal end of the sleeve, wherein the cap member comprises a plurality of blade pieces connected to one another by a frangible connection.

7. The assembly of claim 6, wherein the frangible connection is a weakened bridge.

8. The assembly of claim 6, wherein the sleeve includes a handle portion on the proximal end.

9. The assembly of claim 6, wherein the sleeve further defines a weakened portion extending along a length of the sleeve.

10. The assembly of claim 6, further comprising a camera disposed on a distal end of the cap member.

11. The assembly of claim 6, further comprising a steering assembly having a steering ring and a plurality of steering cables secured to the steering ring.

12. The assembly of claim 11, wherein the plurality of steering cables extend along a length of the sleeve.

Technical Field

The present disclosure relates to surgical stapling devices. More particularly, the present disclosure relates to insertion instruments, adaptor assemblies and protector assemblies for powered flexible annular staplers.

Background

A circular stapler is used to perform end-to-end anastomosis. In a typical surgical procedure, the anvil of an annular stapler is delivered to the surgical site while the staple cartridge of the annular stapler supported on an elongate shaft is inserted through an incision in, for example, the abdominal wall. Alternatively, the ring stapler may include a flexible shaft that allows the introduction of the staple cartridge to the surgical site through a natural body orifice (e.g., mouth or anus). The circular stapler may be manual or powered and may be modified for use with a robotic surgical system.

In order to better facilitate the introduction and positioning of the flexible shaft of the annular stapler, it would be advantageous to have an annular stapler having: the annular stapler includes an effective mechanism for attaching an anvil assembly of the annular stapler to an elongate body of the annular stapler during a surgical procedure. It would also be beneficial to have an introducer (introducers) as follows: the introducer minimizes damage to the patient and/or to the annular stapler, for example, during introduction of the annular stapler into the patient. It would further be beneficial to have an annular stapler that: the circular anastomosis enhances visualization of the surgical procedure. It would also be beneficial to have an annular stapler that: the circular stapler has an elongated body capable of housing a guide wire and/or allowing saline to be injected into the anastomosis site, for example to test the seal and ease handling.

Disclosure of Invention

An adapter assembly for connecting a handle assembly to a loading unit is provided. The adapter assembly includes: a housing; an elongated body extending from the housing; and a trocar assembly supported within the elongate body and including a trocar member. The trocar member extends from the elongate body, wherein the trocar member carries a magnetic force.

In an embodiment, the adapter assembly comprises an anvil assembly. The anvil assembly may include a center rod with a magnetic force to complement the trocar member in such a way that the center rod is magnetically attracted to the trocar member. The anvil assembly may include a removable tip. The removable tip can be magnetically coupled to complement the trocar member in such a manner that the removable tip is magnetically attracted to the trocar member. The trocar assembly can include an electromagnet received about the trocar member for selectively magnetically entraining the trocar member. The adapter assembly may further include a light source.

An insertion instrument for facilitating placement of the anvil assembly within a patient is also provided. The insertion instrument includes: a handle assembly; an elongated body extending from the handle assembly; an electromagnet comprising a coil received around a ferromagnetic member, the electromagnet disposed on a distal end of the elongated body; and a light source disposed on a distal end of the elongated body. In an embodiment, the insertion instrument includes a first switch assembly for selectively activating the electromagnet. The insertion instrument may include a second switch assembly for selectively activating the light source.

Another assembly for protecting a functional end of a surgical stapler during introduction of the surgical stapler into a patient is provided. The assembly includes a sleeve having a proximal end and a distal end and receivable about the elongate body. The sleeve defines an expandable lumen on the distal end configured to be disposed adjacent the distal end of the elongate body. The assembly also includes an injection port in fluid communication with the expandable chamber for selectively expanding the expandable chamber.

In an embodiment, the sleeve further defines a weakened portion extending along a length of the sleeve. The sleeve may include a handle portion on the proximal end. The assembly may include a source of infusion fluid. The source of infusion fluid may comprise a syringe.

An assembly for protecting a functional end of a surgical stapler is also provided. The assembly comprises: a sleeve having a proximal end and a distal end; and a cap member secured to the distal end of the sleeve. The cap member may comprise a plurality of blade members connected to one another by frangible connections. The frangible connection may include a weakened bridge.

In an embodiment, the sleeve includes a handle portion on the proximal end. The sleeve may further define a weakened portion extending along a length of the sleeve. The assembly may also include a camera disposed on a distal end of the cap member. The assembly may include a steering assembly having a steering ring and a plurality of steering cables secured to the steering ring. The plurality of steering cables may extend along a length of the sleeve.

An assembly for protecting the distal end of an annular anastomosis device is also provided. The assembly includes an expandable member having a first portion and a second portion, wherein the first portion is smaller than the second portion and is configured to be received within a distal end of a loading unit. The assembly also includes an injection port operatively connected to the expandable member for selectively expanding and contracting the expandable member.

In an embodiment, the expandable member comprises a snowman shape. The first portion and the second portion may each be substantially spherical.

Drawings

The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and, together with a general description of the disclosure given above, and the detailed description of the embodiments given below, serve to explain the principles of the disclosure, in which:

FIG. 1 is a side view of an exemplary handle assembly and adapter assembly according to an embodiment of the present disclosure;

FIG. 2 is a side view of an anvil assembly according to an embodiment of the present disclosure;

FIG. 3 is a side view of an anvil assembly according to another embodiment of the present disclosure;

FIG. 4 is a side view of an adapter assembly according to another embodiment of the present disclosure;

FIG. 5 is a perspective view of an insertion instrument and anvil assembly according to an embodiment of the present disclosure;

FIG. 6 is an enlarged perspective side view of the distal end of the insertion instrument shown in FIG. 5;

FIG. 7 is a perspective side view of a protective assembly received around the adapter assembly shown in FIG. 1 in accordance with an embodiment of the present disclosure;

FIG. 8 is a perspective side view of the sleeve member of the protective assembly shown in FIG. 7;

FIG. 9A is an enlarged side view of the distal end of the sleeve member shown in FIG. 8 in a first or expanded state;

FIG. 9B is an enlarged side view of the distal end of the sleeve member shown in FIG. 8 in a second or collapsed state;

FIG. 10 is a perspective side view of a protective assembly received around the adapter assembly shown in FIG. 1 according to another embodiment of the present disclosure;

11A-11D are end views of the cap member of the protective assembly shown in FIG. 10 with two blades (FIG. 11A), three blades (FIG. 11B), four blades (FIG. 11C), and five blades (FIG. 11D);

FIG. 12 is a perspective side view of the protective assembly shown in FIG. 10 received around the adapter assembly shown in FIG. 1 and within the stump of an esophagus;

fig. 13 is a perspective side view of the distal end of a protective assembly according to another embodiment of the present disclosure;

FIG. 14 is an end view of the distal end of the protective assembly shown in FIG. 13;

FIG. 15 is a cross-sectional side view of the protective assembly shown in FIG. 13;

FIG. 16 is a perspective side view of a protective assembly according to another embodiment of the present disclosure, received around the adapter assembly shown in FIG. 1 secured to the exemplary handle assembly shown in FIG. 1;

FIG. 17 is a cross-sectional end view taken along line 17-17 of FIG. 16;

FIG. 18 is a side, partial side cross-sectional view of a protective assembly according to another embodiment of the present disclosure;

FIG. 19 is a perspective side view of a loading unit and a tubular organ received around a distal end of the loading unit according to an embodiment of the present disclosure;

FIG. 20 is a cross-sectional side perspective view of the loading unit shown in FIG. 19;

FIG. 21 is a cross-sectional side perspective view of the loading unit shown in FIG. 19 during a flushing operation;

fig. 22 is a schematic illustration of a robotic surgical system including a robotic surgical assembly suitable for use with embodiments of the present disclosure.

Detailed Description

Embodiments of the present disclosure are described in detail with reference to the drawings, wherein like reference numerals designate identical or corresponding elements in each of the several views. As used herein, the term "distal" refers to the portion of the adapter assembly or surgical device or component thereof that is farther from the user, while the term "proximal" refers to the portion of the adapter assembly or surgical device or component thereof that is closer to the user.

Embodiments of the present disclosure will be described in detail with respect to powered handle assembly 10. While shown and described as relating to a powered handle assembly 10, it is contemplated that embodiments of the present disclosure may be modified for use with powered and non-powered handle assemblies having various configurations. For a detailed description of an exemplary dynamic annular stapler, reference is made to commonly owned U.S. patent application publication No. 2002/0253329 ("the' 329 application"), the contents of which are incorporated herein by reference in their entirety. Additionally, for a detailed description of an exemplary electro-mechanical power handle assembly, reference is made to commonly owned U.S. patent application publication No. 2015/0157320 ("the' 320 application"), the contents of which are incorporated herein by reference in their entirety.

With continued reference to fig. 1, an adapter assembly according to an embodiment of the present disclosure is generally shown as adapter assembly 100. The adapter assembly 100 will only be described to the extent necessary to fully disclose aspects of the present disclosure. For a detailed description of an exemplary adapter assembly, please refer to commonly owned U.S. provisional patent application serial No. 62/239,301 filed on 9/10/2015 and commonly owned U.S. provisional patent application serial No. 62/251,300 filed on 5/11/2015, the contents of each of which are incorporated herein by reference in their entirety.

The adapter assembly 100 is releasably connected to the powered handle assembly 10. The adapter assembly 100 includes a housing 102 operatively connected to the powered handle assembly 10 and an elongated body 104 extending from the housing 102. The loading unit 110 may be integral with the adapter assembly 100 or may be releasably coupled to the adapter assembly 100 to allow for reuse of the adapter assembly 100. The elongated body 104 is flexible to facilitate insertion of the loading unit 110 into the body.

A trocar member 106 extends from the distal end of the elongate body 104 for releasably engaging an anvil assembly, namely anvil assembly 120 (fig. 2). As shown, the proximal portion 106a of the trocar member 106 includes a first magnetic pole, namely south "S", and the distal portion 106b of the trocar member 106 includes a second magnetic pole, namely north "N". As will become apparent from the description below, the polarity of the proximal and distal portions 106a, 106b of the trocar member 106 can be reversed.

Referring to fig. 2, anvil assembly 120 is configured for releasable connection to trocar member 106 (fig. 1) of adapter assembly 100 (fig. 1). Anvil assembly 120 will only be described to the extent necessary to fully disclose aspects of the present disclosure. For a detailed description of an exemplary anvil assembly, please refer to commonly owned U.S. Pat. No. 7,364,060 ("the' 060 patent"). Another example of a tiltable anvil assembly is disclosed in commonly owned U.S. patent No. 8,540,132 ("the' 132 patent"). The contents of each of the '060 and' 132 patents are incorporated by reference herein in their entirety.

Briefly, anvil assembly 120 includes a central rod assembly 122 and an anvil head assembly 124 secured to central rod assembly 122. The head assembly 124 of the anvil assembly 120 may be rigidly secured to the central rod assembly 122. Alternatively, the head assembly 124 may be pivotally secured to the central rod assembly 122 to facilitate insertion of the anvil assembly 120 through a lumen of a patient. The central rod assembly 122 of the anvil assembly 120 includes a central rod 126. In one embodiment, the center rod 126 is magnetically coupled. As shown in fig. 2, the central rod 126 includes a proximal portion 126a having a first magnetic pole (i.e., south "S") and a distal portion 126b having a second magnetic pole (i.e., north "N").

As described above, the trocar member 106 (fig. 1) of the adapter assembly 100 (fig. 1) is magnetically charged in a manner similar to the central rod 126 of the anvil assembly 120. In this manner, the proximal portion 126a of the central rod 126 of the anvil assembly 120 is attracted to the distal portion 106b of the trocar member 106.

Anvil assembly 120 may be introduced to the surgical site through the mouth or in any other manner during the surgical stapling operation. After securing a first portion of tissue to be stapled (not shown) to anvil assembly 120, and after securing a second portion of tissue to be stapled (not shown) about loading unit 110 of adapter assembly 100, adapter assembly 100 is moved toward anvil assembly 120. The magnetic attraction between the proximal portion 126a of the central rod 126 of the anvil assembly 120 and the distal portion 106b of the trocar component 106 helps align the central rod 126 of the anvil assembly 120 with the trocar component 106 of the adapter assembly 100. This feature is particularly advantageous when anvil assembly 120 is not visible to the clinician during attachment of anvil assembly 120 to adapter assembly 100.

Turning to fig. 3, in an alternative embodiment, anvil assembly 120 includes a removable tip member 130 for facilitating receipt of central rod 126 of anvil assembly 120 through tissue (not shown). The removable tip member 130 includes a proximal portion 130a configured for piercing tissue and a distal end 130b configured for operably connecting to the proximal end 126a of the central rod 126. The proximal portion 130a of the removable tip member 130 includes a first magnetic pole, namely the south "S", and the distal portion 130b of the removable tip member 130 includes a second magnetic pole, namely the north "N". When the removable tip member 130 is secured to the central rod 126 of the anvil assembly 120 in a manner similar to the magnetically-charged central rod 126 described above, the magnetic attraction between the proximal portion 130a of the removable tip member 130 and the distal portion 106b (fig. 1) of the trocar member 106 (fig. 1) of the adapter assembly 100 (fig. 1) facilitates the approximation of the anvil assembly 120 to the adapter assembly 100.

Turning now to fig. 4, an alternate embodiment of an adapter assembly according to the present disclosure is generally shown as adapter assembly 200. The adapter assembly 200 is substantially similar to the adapter assembly 100 described above. The adapter assembly 200 includes a housing 202, an elongate body 204 extending from the housing 202, a trocar member 206 extending from the elongate body 204 for releasably securing an anvil assembly, such as the anvil assembly 120 (fig. 2), and a loading unit 210 disposed on a distal end of the elongate body 204.

With continued reference to fig. 4, the adapter assembly 200 includes an electromagnetic assembly 240. The electromagnetic assembly 240 includes a coil or solenoid 242, the coil or solenoid 242 being disposed within the loading unit 210 of the adaptor assembly 200 and surrounding the trocar member 206. The coil 242 is connected to a power source 244. The power source 244 may be disposed within the housing 202 of the adapter assembly 200, within the handle assembly 10 (fig. 1), as a stand-alone power source, or in any other suitable configuration. The switch 246 for activating the solenoid assembly 240 may be disposed on the housing 202 of the adapter assembly 200 as shown, or may be disposed on the handle assembly 10 (FIG. 1), or as a separate actuator, i.e., a foot switch (not shown).

Activation of the solenoid assembly 240 of the adapter assembly 200 magnetically charges the trocar member 206. As described above with respect to trocar member 106 of adapter assembly 100, when trocar member 206 of adapter assembly 200 is magnetically energized, the anvil assembly, including the magnetically energized portion (i.e., center rod 126, removable trocar tip 130), is attracted to trocar member 206 to facilitate coupling of the anvil assembly to trocar member 206.

Referring now to fig. 5 and 6, an instrument for facilitating positioning of a magnetic anvil assembly (i.e., anvil assembly 120) within a patient's body is generally shown as insertion instrument 300. The insertion instrument 300 includes a handle assembly 302 and an elongated body 304 extending from the handle assembly 302. The insertion instrument 300 also includes an electromagnetic assembly 340 and a light assembly 350.

The electromagnetic assembly 340 is similar to the electromagnetic assembly 240 of the adapter assembly 200 and includes a coil 342 wound with a ferromagnetic material (i.e., a rod member 348), a power source 344 connected to the coil 342, and an activation switch 346 for activating the electromagnetic assembly 340.

The lamp assembly 350 includes at least one light source, such as an annular array of light emitting diodes 352 mounted on the distal end of the elongate body 304, and a control switch for activating the light source 352 and for controlling the intensity of the light source 352. The light source 352 may be powered by the power source 344 of the electromagnetic assembly 340. Alternatively, the light source 352 may be powered by a separate power source disposed within the handle assembly 302.

During positioning of anvil assembly 120, activation of electromagnetic assembly 340 of insertion instrument 300 generates a magnetic field that attracts the magnetically central rod 126 (fig. 2) of anvil assembly 120 to facilitate positioning of anvil assembly 120 within the body cavity and through tissue "T". Activation of light source 352 of light assembly 350 facilitates viewing of anvil assembly 120 as anvil assembly 120 is positioned through tissue "T". It is contemplated that light source 352 may be placed behind tissue "T" to illuminate tissue "T".

Referring now to fig. 7, shown generally as an assembly of a protective assembly 400 for protecting the elongate body 104 of the adapter assembly 100 and the loading unit 110 secured to the elongate body 104 and for minimizing damage to the patient's tissue during introduction of the adapter assembly 100 into the patient. The protective assembly 400 includes a sleeve member 402 and a sprue 404 operatively connected to the sleeve member 402. The injection port 404 may include a luer connector (luer connector) or other suitable connection. The protective assembly 400 further includes a syringe 406 or other source of injection fluid, i.e., an air tank, a bellows pump (bellow pump), configured for operative connection with the injection port 404.

With additional reference to fig. 8, the sleeve member 402 of the protection assembly 400 includes an elongate flexible body 410, the elongate flexible body 410 configured to be received around the elongate body 104 (fig. 7) of the adapter assembly 100 (fig. 7) and the loading unit 110 (fig. 7) secured to the elongate body 102 of the adapter assembly. The sleeve member 402 includes an open proximal end 402a and an open distal end 402b and defines an expandable annular cavity or ring 403 extending around the open distal end 402b in fluid communication with the injection port 404. As will be described in further detail below, the expandable annular ring 403 is configured to be positioned adjacent the distal end of the elongate body 104 for protecting the adapter assembly 100 from damage during introduction of the adapter assembly 100 into a patient, and for protecting tissue of the patient. The expandable annular ring 403 is connected to the injection port 404 by one or more inflation channels 405 extending along the length of the elongate flexible body 410 of the sleeve member 402.

The open proximal end 402a of the sleeve member 402 includes a handle member or pull-back handle 408 for facilitating receipt of the sleeve member 402 about the elongate body 104 of the adapter assembly 100 and for facilitating removal of the sleeve member 402 from around the elongate body 104. The sleeve member 402 may include perforations or tear lines 412 extending along all or a portion of the length of the elongate flexible body 410. Alternatively, the sleeve member 402 may be formed from sheet material, with hook and loop fasteners for maintaining the tube structure (e.g.,) Or a zipper lock connection.

During a surgical procedure, and prior to introducing the elongate body 104 of the adapter assembly 100 into a patient, the sleeve member 402 of the protection assembly 400 is received around the elongate body 104. The sleeve member 402 of the protective assembly 400 may be received about the elongate body 102 when the sleeve member 402 is in the expanded configuration (fig. 9A) or when the sleeve member 402 is in the collapsed configuration (fig. 9B). The sleeve member 402 is retracted around the elongate body 402 until the expandable annular cavity 403 is disposed adjacent the distal end of the elongate body 104. If the expandable annular cavity 403 of the sleeve member 402 has not been expanded, a syringe 406 (FIG. 7) may be used to expand the expandable annular cavity 403.

During introduction of the elongate body 104 of the adapter assembly 100 into the patient, the sleeve member 402 of the protection assembly 400 protects the distal end of the elongate body 104 from damage while also protecting the tissue through which the adapter assembly 100 is introduced. Once the adapter assembly 100 has been positioned within the patient, the expandable annular cavity 403 of the sleeve member 402 of the protective assembly 400 may be deflated to facilitate removal of the sleeve member 402 from the elongate body 104 of the adapter assembly 100. As noted above, the sleeve member 402 may include perforations or tear lines 412 to facilitate removal of the sleeve member 402 from around the elongate body 104. Once the sleeve member 402 of the protection assembly 400 is removed from around the elongate body 104 of the adapter assembly 100, the adapter assembly 100 may be used in a conventional manner.

Referring now to fig. 10-12, another embodiment for protecting the assembly of the elongated body 104 of the adapter assembly 100 and the loading unit 110 secured to the elongated body 104 is generally shown as a protective assembly 500, and the protective assembly 500 serves to minimize damage to patient tissue during introduction of the adapter assembly 100 into a patient. Protective assembly 500 includes a sleeve member 502 and a cap member 504 secured to a distal end of sleeve member 502. The sleeve member 502 is configured to be received around the elongate body 104 of the adapter assembly 100. The cap member 504 is configured to be releasably received around the loading unit 110 secured to the distal end of the elongate body 104 of the adapter assembly 100.

The sleeve member 502 of the protective assembly 500 is substantially similar to the sleeve member 402 of the protective assembly 400 described above and includes an elongated flexible body 506. As shown, the cap member 504 includes a generally conical shape and may be transparent or translucent. The cap member 504 is formed of a flexible plastic or other suitable material and is divided into a plurality of blade pieces or portions 504 a. For example, and as shown, the cap member 504 includes two blades (fig. 11A), three blades (fig. 11B), four blades (fig. 11C), or five blades (fig. 11D). The blades 504a may be connected by a frangible connection 504b (e.g., a weakened plastic bridge), the frangible connection 504b being configured to break during retraction of the sleeve member 502 relative to the elongate body 104 of the adapter assembly 100. The greater the number of blades 504a, the less space the cap member 504 will occupy in the radial direction when the protection assembly 500 is removed from around the elongated body 104 of the adapter assembly 100.

The elongate flexible body 506 of the sleeve member 502 may be constructed of a more flexible material than the cap member 504. The cap member 504 may be made more rigid by increasing the wall thickness of the blade 504a or by constructing the cap member 504 from a harder material.

As shown in fig. 12, removal of the protective assembly 500 from around the elongate body 104 of the adapter assembly 100 requires pulling the handle member 508 proximally and radially outward relative to the elongate body 104, as indicated by arrow "a," to cause the sleeve member 502 to tear along the tear line 512 and to cause separation of the blade 504a of the cap member 504. As sleeve member 502 is separated along tear line 512 and sleeve member 502 is retracted proximally relative to elongate body 104, blades 504a of cap member 504 separate to allow loading unit 110 to pass therethrough. Once completely removed from around the elongate body 104 of the adapter assembly 100, the clinician can dispose of the protective assembly 500 and the adapter assembly 100 can be used in a conventional manner.

Turning to fig. 13-15, another embodiment of an assembly for protecting the elongated body 104 of the adapter assembly 100 and the attached loading unit 110 is generally shown as a protection assembly 600. The protective assembly 600 includes a sleeve member 602 and a cap member 604 secured to a distal end of the sleeve member 602. The protective assembly 600 further includes a camera assembly 606 supported within the cap member 604. The camera assembly 606 may be connected to a monitoring unit (not shown) wirelessly or by a wire "W" (fig. 15) running along the length of the sleeve member 602.

The cap member 604 includes a plurality of blades 604 a. A camera assembly 606 is supported on a distal end of one of the blades 604 a. The camera assembly 606 may be removable to allow reuse. The camera assembly 606 allows viewing when the elongated body 104 of the adapter assembly 100 is introduced into a patient. Camera component 606 may include a Charge Coupled Device (CCD) camera or other suitable camera.

Referring now to fig. 16 and 17, an assembly for protecting the elongated body 104 of the adapter assembly 100 and the loading unit 110 attached to the elongated body 104 is generally shown as a protection assembly 700. The protective assembly 700 is substantially similar to the protective assemblies 400, 500, 600 described above. The protection assembly 700 includes: a sleeve member 702, a cap member 704 integrally formed with or secured to a distal end of the sleeve member 702, and a steering assembly 706 supported on the sleeve member 702 and extending through the sleeve member 702.

The steering assembly 706 includes a steering ring 708 and a plurality of steering cables 710 extending from the steering ring 708 and through the sleeve member 702. Steering cables 710 are each received through lumen 705 of sleeve member 702. As shown, the protective assembly 700 includes four (4) steering cables 710. However, it is contemplated that the protective assembly 700 may have more or less than four (4) steering cables 710.

During a surgical procedure, after the protective assembly 700 is received around the elongate body 104 of the adapter assembly 100, the steering ring 708 can be used to guide the elongate body 104 of the adapter assembly 100 within a patient. More specifically, the steering ring 708 of the protection assembly 700 is rotated about the longitudinal axis of the adapter assembly 100 as indicated by arrow "B" in fig. 16, causing a corresponding movement of the sleeve member 702 of the protection assembly 700, which moves the elongate body 104 of the adapter assembly 100. Rotation of the steering ring 708 relative to the adapter assembly 100 facilitates continued movement of the adapter assembly 100 to a desired position as the adapter assembly 100 is introduced into a patient.

Referring now to fig. 18, an assembly for protecting loading unit 110 secured to the distal end of elongate body 104 of adapter assembly 100 is generally shown as protection assembly 800. The protective assembly 800 includes an expandable member 802 and an injection port 804, the expandable member 802 configured for operably engaging the loading unit 110, the injection port 804 for enabling injection of the expandable member 802. The injection port 804 may include a luer connector or other suitable connection device and is in fluid communication with the expandable member 802 via the fill tube 804 a. The protective assembly 800 may further include a syringe, canister, bellows, or other suitable device for expanding the expandable member 802.

The expandable member 802 of the protective assembly has a first generally spherical portion 802a and a second generally spherical portion 802b extending from the first generally spherical portion 802 a. When the expandable member 802 is in the expanded state, the first generally spherical portion 802a is larger in size or diameter than the second generally spherical portion 802 b. As shown in fig. 18, when expandable member 802 is in the expanded state, second generally spherical portion 802b is securely received within cylindrical cavity 111 of loading unit 110, which loading unit 110 is secured to the distal end of elongate body 104 of adapter assembly 100. When the second generally spherical portion 802b of the expandable member 802 is received within the cylindrical cavity 111 of the loading unit 110, the first generally spherical portion 802a covers the distal end of the loading unit 110. In this manner, expandable member 802 prevents the distal end of loading unit 110 from coming into contact with tissue as adapter assembly 100 and attached protection assembly 800 are introduced into the patient.

It is contemplated that the first generally spherical portion 802a of the expandable member 802 may be configured to match the profile of the loading unit 110. In this manner, the expandable member 802 is more closely aligned with the loading unit 110.

Referring now to fig. 19-21, an embodiment of a loading unit according to the present disclosure is shown generally as loading unit 910. Loading unit 910 is configured for operable connection to a distal end of elongate body 104 (fig. 1) of adapter assembly 100 (fig. 1). Briefly, loading unit 910 includes a housing 912 and a cartridge assembly 914 mounted on a distal end of housing 912. Housing 912 defines a lumen 915 extending therethrough for providing a path through cartridge assembly 914. Lumen 915 may be used, for example, to provide perfused fluid "I" (fig. 21) to the tissue "T" being anastomosed. In addition, lumen 915 may be used to receive, for example, a guidewire, visualization device "S" (fig. 20), or other suitable instrument during the anastomosis procedure. A connector sleeve 916 may be received over the proximal end of the lumen 915 to facilitate receiving fluids and/or instruments into and through the lumen.

It is contemplated that embodiments of the present disclosure may be modified for use with a variety of electro-mechanical surgical instruments and/or electrosurgical instruments. It is further contemplated that these instruments may be configured to be removably coupled and controllable by a robotic surgical system, for example.

Referring now to fig. 22, an exemplary robotic surgical system is shown generally as robotic surgical system 1, and may include: a plurality of surgical robotic arms, such as surgical robotic arms 2, 3, each having an instrument drive unit (e.g., instrument drive units 11, 12) and an end effector (e.g., surgical stapler 21, 22) removably attached thereto; a control device, such as control device 5; and an operation console (e.g., operation console 4) coupled with control device 5. As shown, the robotic surgical system 1 is configured for use with a patient "P" lying on an operating table "ST" to be treated in a minimally invasive manner by means of surgical staplers 21, 22.

For a detailed description of the construction and operation of an exemplary robotic surgical system, reference may be made to U.S. patent application publication No. 2012/0116416, the entire contents of which are incorporated herein by reference.

Those 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 contemplated that elements and features shown or described in connection with one exemplary embodiment may be combined with elements and features of another embodiment without departing from the scope of the disclosure. Likewise, 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.