# US 10,864,010 B2 · Surgical handpiece and latching hub system

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- Number: US 10,864,010 B2
- Document ID: US10864010B2
- Status: Granted
- Kind: B2
- Application number: 16/086,677
- Filed: 2017-04-11
- Published: 2019-04-18
- Granted: 2020-12-15
- Earliest claimed: 2016-04-14
- Assignees: Smith & Nephew, Inc.
- Applicants: Smith & Nephew, Inc.
- Inventors: Cemal Shener-Irmakoglu
- Web page: https://patentgrep.com/patent/US10864010B2

## CPC

- A61B 17/32002: {with continuously rotating, oscillating or reciprocating cutting instruments}
- A61B 17/1644: {using fluid other than turbine drive fluid}
- A61B 17/1659: {Surgical rasps, files, planes, or scrapers}
- A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)}
- A61B 2017/1602: {Mills}
- A61B 2217/005: with suction drainage system
- A61B 2217/007: with irrigation system
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Example embodiments include a drive unit and a hub and cutting implement that may be coupled to the hub by use of a latch between the hub and the drive unit. The latch may be configured to couple with the drive unit at locations on the perimeter of the drive unit. Some embodiments of the invention also include one or both of resection controls and fluid management systems.

## Claims

### Claim 1

A system comprising:
a drive unit comprising:
a longitudinal axis;
a perimeter about a cross-section of the drive unit transverse to the longitudinal axis, the perimeter at a distal end of the drive unit;
an annular groove disposed proximally of the perimeter on an outside surface of the drive unit;
an opening at the distal end of the drive unit, the opening defines an internal volume with an inside surface; and
two or more slots extending along the longitudinal axis and radially through the drive unit to the internal volume and open on the distal end of the drive unit;
a cutting implement comprising:
a hub telescoped within the internal volume, an outside surface of the hub abuts the inside surface of the opening;
one or more protrusions extending radially outward from the hub, at least one of the one or more protrusions telescoped with one of the two or more slots of the drive unit;
a latch disposed on the outside surface of the hub, the latch comprising an engaging member releasably coupled to the annular groove;
an outer tube coupled to the hub; and
a cutter near a distal tip of the outer tube.

### Claim 2 (depends on 1)

The system of claim 1
wherein the two or more slots includes two slots and the one or more protrusions includes two protrusions corresponding to the two slots and each configured to be received in one of the two slots.

### Claim 3 (depends on 1)

The system of claim 1
wherein the two or more slots includes three slots and the one or more protrusions includes three protrusions corresponding to the three slots and each configured to be received in one of the three slots.

### Claim 4 (depends on 1)

The system of claim 1 wherein the latch further comprises:
a chamfered leading edge on a proximal end of the latch, the chamfered leading edge in operational relationship to the engaging member; and
the chamfered leading edge and engaging member configured such that when the hub is moved proximally along the longitudinal axis, the latch is forced into a position where the engaging member couples to the annular groove.

### Claim 5 (depends on 1)

The system of claim 1 wherein the perimeter is circular at the cross-section.

### Claim 6 (depends on 1)

The system of claim 1 wherein the latch further comprises a hinge that defines a rotational axis, and wherein the rotational axis, projected onto the longitudinal axis of the drive unit, is perpendicular to the longitudinal axis of the drive unit.

### Claim 7 (depends on 1)

The system of claim 1 wherein a rotational axis of the latch is at least one selected from the group consisting of: tangent to the outside surface of the hub; and parallel to a tangent to the outside surface of the hub.

### Claim 8 (depends on 1)

The system of claim 1 wherein the drive unit further includes a rim immediately adjacent the distal end of the drive unit, the rim extending radially outwardly from the longitudinal axis to form the annular groove and define the perimeter.

### Claim 9

A cutting implement for use with a drive unit, the cutting implement comprising:
a hub that defines an outside surface;
an outer tube rigidly coupled to the hub, the outer tube defines a longitudinal axis;
an inner tube telescoped with the outer tube along the longitudinal axis;
a first protrusion that extends radially outward from the hub;
a latch disposed on the outside surface of the hub, the latch comprising:
an engaging member on an inside surface of the latch,
a chamfered edge on a proximal end of the latch, the chamfered edge in operational relationship to the engaging member, and
the chamfered edge and engaging member configured such that when the hub is moved proximally along the longitudinal axis, the latch is forced into a position where the engaging member couples to an annular groove of the drive unit; and
a cutter defined at a distal end of the outer tube and inner tube.

### Claim 10 (depends on 9)

The cutting implement of claim 9 wherein the hub further comprises a second protrusion opposite the first protrusion on the outside surface of the hub.

### Claim 11 (depends on 9)

The cutting implement of claim 9 wherein the hub further comprises a second protrusion that extends radially outward from the hub, and a third protrusion that extends radially outward from the hub, the first, second, and third protrusions disposed at equally spaced circumferential positions around a circumference of the hub.

### Claim 12 (depends on 9)

The cutting implement of claim 9 wherein the latch resides between two protrusions along a circumference of the outside surface of the hub.

### Claim 13 (depends on 9)

The cutting implement of claim 9 wherein the latch further comprises a hinge that defines a rotational axis, and wherein the rotational axis, projected onto the longitudinal axis, is perpendicular to the longitudinal axis.

### Claim 14 (depends on 9)

The cutting implement of claim 9 wherein a rotational axis of the latch is at least one selected from the group consisting of: tangent to the outside surface of the hub; and parallel to a tangent to the outside surface of the hub.

### Claim 15

A method comprising:
rotationally aligning a cutting implement such that one or more protrusions extending radially outward from a hub of the cutting implement align with at least one of two or more respective notches defined in a distal end of a drive unit, the two or more respective notches extending along a longitudinal axis of the drive unit and radially through the drive unit; and then
telescoping the hub of the cutting implement into an opening at the distal end of the drive unit; and simultaneously
telescoping the one or more protrusions into the at least one of the one of two or more respective notches;
latching the cutting implement to an annular groove defined on an outside surface of the distal end of the drive unit, the latching by a latch disposed on an outside surface of the hub; and
resecting tissue with the cutting implement and the drive unit.

### Claim 16 (depends on 15)

The method of claim 15 wherein
the two or more respective notches includes three respective notches and the one or more protrusions includes three protrusions corresponding to the three respective notches and each of the three protrusions is configured to be received in one of the three respective notches.

### Claim 17 (depends on 15)

The method of claim 15 wherein latching further comprises:
rotating the latch in a first direction by a chamfered edge engaging a perimeter at the distal end of the drive unit, the rotating about a hinge axis of the latch; and then
rotating the latch in a second direction opposite the first direction about the hinge axis, rotation of the hinge in the second direction couples an engaging member within the annular groove on the distal end of the perimeter.
