# US 2016/0354080 A1 · Rotation adapter and receiver for minimally invasive surgical devices

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- Number: US 2016/0354080 A1
- Document ID: US20160354080A1
- Status: Published application
- Kind: A1
- Application number: 15/242,073
- Filed: 2016-08-19
- Published: 2016-12-08
- Earliest claimed: 2014-07-08
- Assignees: LSI Solutions, Inc.
- Applicants: LSI Solutions, Inc.
- Inventors: Jude S. Sauer; Jason C. Patti
- Web page: https://patentgrep.com/patent/US20160354080A1

## CPC

- A61B 17/0487: {Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks (suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122)}
- A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)}
- A61B 17/0467: {Instruments for cutting sutures (surgical cutting instruments A61B17/32)}
- A61B 17/0469: {Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery}
- A61B 17/0625: {the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator (A61B17/06109 takes precedence)}
- A61B 90/08: {Accessories or related features not otherwise provided for}
- F16H 25/186: {with reciprocation along the axis of oscillation}
- A61B 2017/00243: {cardiac}
- A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids}
- A61B 2017/00455: {Orientation indicators, e.g. recess on the handle}
- A61B 2017/0409: {Instruments for applying suture anchors}
- A61B 2017/042: {plastically deformed during insertion}
- A61B 2017/0454: {the anchor being crimped or clamped on the suture}
- A61B 2017/0488: {Instruments for applying suture clamps, clips or locks}
- A61B 2017/06009: {having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle}
- A61B 2017/2929: {with a head rotatable about the longitudinal axis of the shaft}
- A61B 2090/0811: {for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- F16H: GEARING

## Abstract

A rotation adapter for a minimally invasive surgical apparatus is disclosed. The rotation adapter has a proximal journal and a distal journal. The rotation adapter also has a rotation index coupled between the proximal and distal journals. The rotation adapter further has an actuator input and an effector output. A rotation adapter receiver for a minimally invasive surgical apparatus is also disclosed. The rotation adapter receiver has opposing beams and a proximal bushing coupled between the opposing beams. The rotation adapter receiver also has a distal bushing coupled between the opposing beams. The rotation adapter receiver further has a rotation constraint coupled between the opposing beams and positioned between the proximal and distal bushings.

## Claims

### Claim 1

A rotation adapter receiver for a minimally invasive surgical apparatus, the rotation adapter receiver comprising:
opposing beams;
a proximal bushing coupled between the opposing beams;
a distal bushing coupled between the opposing beams; and
a rotation constraint coupled between the opposing beams and positioned between the proximal and distal bushings.

### Claim 2 (depends on 1)

The rotation adapter receiver of claim 1, wherein at least one of the opposing beams defines at least one flexure void between the rotation constraint and at least one of the proximal and distal bushings.

### Claim 3 (depends on 1)

The rotation adapter receiver of claim 1, wherein each of the opposing beams defines:
a flexure void between the rotation constraint and the proximal bushing; and
a flexure void between the rotation constraint and the distal bushing.

### Claim 4 (depends on 1)

The rotation adapter receiver of claim 1, wherein the proximal bushing comprises a split bushing.

### Claim 5 (depends on 1)

The rotation adapter receiver of claim 1, wherein the proximal bushing comprises a clinch bushing.

### Claim 6 (depends on 1)

The rotation adapter receiver of claim 1, wherein the distal bushing comprises a split bushing.

### Claim 7 (depends on 1)

The rotation adapter receiver of claim 1, wherein the distal bushing comprises a clinch bushing.

### Claim 8 (depends on 1)

The rotation adapter receiver of claim 1, wherein the adapter is split into two parts.

### Claim 9 (depends on 8)

The rotation adapter receiver of claim 8, wherein each of the two parts comprises a portion of the opposing beams, the proximal bushing, the distal bushing, and the rotation constraint.

### Claim 10 (depends on 9)

The rotation adapter receiver of claim 9, wherein each of the two parts is a mirror of the other.

### Claim 11 (depends on 9)

The rotation adapter receiver of claim 9, wherein each of the two parts is identical to the other.

### Claim 12 (depends on 1)

The rotation adapter receiver of claim 1, wherein each of the opposing beams has a tapered edge.

### Claim 13 (depends on 1)

The rotation adapter receiver of claim 1, wherein at least one of the opposing beams comprises an interlocking feature.

### Claim 14

A rotation adapter for a minimally invasive surgical apparatus, the rotation adapter comprising:
a proximal journal;
a distal journal;
a rotation index coupled between the proximal and distal journals;
an actuator input; and
an effector output.

### Claim 15 (depends on 14)

The rotation adapter of claim 14, further comprising an effector direction indicator.

### Claim 16 (depends on 14)

The rotation adapter of claim 14, wherein the effector direction indicator comprises a suture management feature.

### Claim 17 (depends on 14)

The rotation adapter of claim 14, wherein the effector output is configured to engage a pusher for a mechanical knot crimper.

### Claim 18 (depends on 14)

The rotation adapter of claim 14, wherein the effector output is configured to engage a needle.

### Claim 19 (depends on 14)

The rotation adapter of claim 14, wherein the actuator input comprises a cam spring.

### Claim 20 (depends on 14)

The rotation adapter of claim 14, wherein the actuator input comprises a keyed slot.
