Ultrasonic robotic tool actuation

• US 10,471,282 B2
• Filed: 12/21/2016
• Issued: 11/12/2019
• Est. Priority Date: 12/21/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Kirk, Jeffery, Felder, Kevin D.
• Primary Examiner(s): Ton, Martin T
• Application Number:
  US15/386,516
• Publication Number:
  US 20180168681A1
• Time in Patent Office: 1,056 Days
• Field of Search: 606205-208
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 2017/00402 Piezo electric actuators
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/35 for telesurgery
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

Described herein include various embodiments of a tool assembly for performing endoscopic surgery that can be used manually and/or with a robotic surgical system. The tool assembly can include a shaft assembly that extends from a housing of the tool assembly. A distal end of the shaft can include an end effector that includes a clamp arm pivotally coupled to a blade for cutting and/or sealing tissue. Pivoting of the clamp arm between the open and closed configurations can be caused by movement of a yoke that is slidably disposed within the housing of the tool assembly. For example, the yoke can be caused to move by one or more outputs (e.g., a manual output, a rotary output, and/or a linear mechanical output). Furthermore, some tool assembly embodiments can include a biasing system that biases the yoke such that the clamp arm is in the open configuration. In some embodiments, the tool assembly can be configured for tissue spread dissection using the clamp arm and blade.

Claims

1. A surgical tool, comprising:

a housing;

a shaft assembly extending through the housing and extending distally from the housing, the shaft assembly having a distal end with a blade and a clamp arm pivotally coupled to the blade;

an actuation assembly including a first actuator, and a second actuator, and a compound gear; and

a yoke having an elongated body that is disposed within the housing, the yoke being operatively coupled between the clamp arm and the actuation assembly such that linear movement of the first actuator causes longitudinal translation of the yoke in a first direction and linear movement of the second actuator causes longitudinal translation of the yoke in a second direction that is opposite the first direction so as to move the clamp arm between the open and closed positions;

wherein the compound gear operably couples the first and second actuators to the yoke, and wherein the compound gear includes a first gear and a second gear that is coupled to the first gear such that the first gear and the second gear rotate together, the first gear having a first diameter and the second gear having a second diameter that is less than the first diameter.

2. The surgical tool of claim 1, further comprising an ultrasonic transducer disposed within the housing and coupled to the blade for delivering ultrasonic energy to the blade.

3. The surgical tool of claim 1, wherein the housing is configured to couple to a driver of a robotic arm of a robotic surgical system.

4. The surgical tool of claim 1, wherein the first actuator and the second actuator engage opposing sides of the first gear, and wherein the yoke engages the second gear.

5. A surgical tool, comprising:

a housing;

a shaft assembly extending through the housing and extending distally from the housing, the shaft assembly having a distal end with a blade and a clamp arm pivotally coupled to the blade;

an actuation assembly including a first actuator and a second actuator; and

a yoke having an elongated body that is disposed within the housing, the yoke being operatively coupled between the clamp arm and the actuation assembly such that linear movement of the first actuator causes longitudinal translation of the yoke in a first direction and linear movement of the second actuator causes longitudinal translation of the yoke in a second direction that is opposite the first direction so as to move the clamp arm between the open and closed positions;

wherein at least one of the first actuator and the second actuator comprises at least one protrusion formed on the yoke and extending through an opening in the housing.

6. The surgical tool of claim 5, further comprising an ultrasonic transducer disposed within the housing and coupled to the blade for delivering ultrasonic energy to the blade.

7. The surgical tool of claim 5, wherein the yoke is operatively coupled to at least one of the first actuator and the second actuator by a pulley assembly.

8. The surgical tool of claim 5, wherein the yoke is operatively coupled to at least one of the first actuator and the second actuator by a pinion gear.

9. The surgical tool of claim 5, wherein the housing is configured to couple to a driver of a robotic arm of a robotic surgical system.

10. The surgical tool of claim 5, wherein the actuation assembly includes a compound gear that operably couples the first and second actuators to the yoke.

11. The surgical tool of claim 10, wherein the compound gear includes a first gear and a second gear that is coupled to the first gear such that the first gear and the second gear rotate together.

12. The surgical tool of claim 11, wherein the first actuator and the second actuator engage opposing sides of the first gear, and wherein the yoke engages the second gear.

13. The surgical tool of claim 11, wherein the first gear has a first diameter and the second gear has a second diameter that is less than the first diameter.

14. A surgical tool, comprising:

a housing;

a shaft assembly extending through the housing and extending distally from the housing, the shaft assembly having a distal end with a blade and a clamp arm pivotally coupled to the blade;

an actuation assembly having a first actuator, a second actuator, and a compound gear; and

a single yoke disposed within the housing, the single yoke being operatively coupled between the clamp arm and the actuation assembly such that linear movement of the first actuator and linear movement of the second actuator cause longitudinal translation of the single yoke in a first direction and a second, opposite direction, respectively, along the shaft assembly to thereby move the clamp arm between the open and closed positions;

wherein the compound gear operably couples the first and second actuators to the yoke, and wherein the compound gear includes a first gear and a second gear that is coupled to the first gear such that the first gear and the second gear rotate together, the first gear having a first diameter and the second gear having a second diameter that is less than the first diameter.

15. The surgical tool of claim 14, further comprising an ultrasonic transducer disposed within the housing and coupled to the blade for delivering ultrasonic energy to the blade.

16. The surgical tool of claim 14, wherein at least one of the first actuator and the second actuator comprises at least one protrusion formed on the yoke and extending through an opening in the housing.

17. The surgical tool of claim 14, wherein the housing is configured to couple to a driver of a robotic arm of a robotic surgical system.

18. The surgical tool of claim 14, wherein the first actuator and the second actuator engage opposing sides of the first gear, and wherein the yoke engages the second gear.