Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments

• US 10,674,896 B2
• Filed: 09/06/2017
• Issued: 06/09/2020
• Est. Priority Date: 09/12/2016
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Becerra, Matthew, Albrecht, Jeremy, Hopkins, Timothy, Pugh, Brian, Hong, Brian, Vu, Bruno
• Primary Examiner(s): Stransky, Katrina M
• Application Number:
  US15/697,288
• Publication Number:
  US 20180070802A1
• Time in Patent Office: 1,007 Days
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 17/3496 Protecting sleeves or inner probes; Retractable tips for protecting body piercing guide needles A61M25/0612
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/3419 Sealing means between cannula and body
• CPC Class Codes: A61B 2017/346 with wings
• CPC Class Codes: A61B 2090/0801 Prevention of accidental cutting or pricking
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

The surgical robotic access system provides access for robotic instruments and/or actuators including the introduction, operation and withdrawal of such robotic manipulators into a body cavity without permitting the escape of pressurized fluid or gas. The surgical robotic access system also provides a multi-faceted range of movement without touching or effecting pressure on the opening in the patient'"'"'s body cavity.

Claims

1. A surgical robotic access system providing instrument access into a patient'"'"'s body, the surgical robotic access system comprising:

a surgical robotic access platform having a proximal portion disposed externally to a patient'"'"'s body and a distal portion positioned within the patient'"'"'s body, wherein the proximal portion of the surgical robotic access platform includes a flexible seal; and

a robotic sheath having a proximal end and a distal end, wherein the robotic sheath is insertable through the flexible seal of the surgical robotic access platform, wherein the robotic sheath has an expandable cover disposed at the distal end of the robotic sheath, wherein the expandable cover defines a cavity of the robotic sheath having a proximal opening and a distal opening and through which a surgical robotic manipulator is insertable therethrough,

wherein the robotic sheath further comprises a retrieval tail extending proximally from the expandable cover, and wherein the retrieval tail is elongate and planar being lengthwise longer than the expandable cover.

2. The surgical robotic access system of claim 1, wherein the expandable cover of the robotic sheath is arranged to encase and surround a distal end of the surgical robotic manipulator within the cavity of the robotic sheath, and wherein the flexible seal is arranged to encase and surround the expandable cover of the robotic sheath to compress the expandable cover of the robotic sheath against the distal end of the surgical robotic manipulator thereby maintaining an insufflation gas seal between the robotic sheath and the flexible seal.

3. The surgical robotic access system of claim 2, wherein the expandable cover comprises:

curved sides separated by a slit extending from the distal opening of the expandable cover to the proximal opening of the expandable cover; and

a flap biased in a closed position covering the distal opening of the expandable cover.

4. The surgical robotic access system of claim 3, wherein the flap is planar and is movable to be disposed flushed against the distal opening of the expandable cover, and wherein the proximal opening of the expandable cover is larger in diameter than the distal opening of the expandable cover.

5. The surgical robotic access system of claim 3, wherein the expandable cover further comprises side flaps or walls that collectively define the cavity of the robotic sheath with the flap.

6. The surgical robotic access system of claim 5, wherein the side flaps or walls are adapted to be moved or unfolded to provide the surgical robotic manipulator unobstructed access through the distal opening of the robotic sheath once the flap covering the distal opening of the expandable cover is in an open position.

7. The surgical robotic access system of claim 5, wherein the side flaps or walls are removably attached to the flap.

8. The surgical robotic access system of claim 1, wherein the expandable cover includes an exterior surface and an interior surface, wherein both the exterior and interior surfaces are uniform and smooth, wherein the interior surface of the expandable cover is lined with a protective material affixed to the interior surface, and wherein the protective material is a material different from a material of the expandable cover and having a lower durometer than the material of the expandable cover.

9. The surgical robotic access system of claim 8, wherein the protective material comprises one or more of foam, inflated bladders, or gel cushions.

10. The surgical robotic access system of claim 1, wherein the cavity of the expandable cover of the robotic sheath is arranged to expand upon insertion of the surgical robotic manipulator into the cavity of the robotic sheath, wherein the flexible seal is arranged to encase and surround the expandable cover of the robotic sheath, wherein the robotic sheath is made of a material with a lower durometer than the surgical robotic manipulator, wherein the robotic sheath is arranged to conform to the surgical robotic manipulator due to compressive forces of the flexible seal of the surgical robotic access platform arranged to compress the expandable cover against a distal end of the surgical robotic manipulator thereby maintaining an insufflation gas seal between the surgical robotic manipulator, the robotic sheath and the flexible seal, wherein the distal end of the robotic sheath is operationally disposed beneath a lower surface of the flexible seal and the proximal portion of the robotic sheath and the flexible seal are operationally disposed outside of the patient'"'"'s body, wherein the proximal portion of the robotic sheath has a retrieval tail being planar and proximally extending from the expandable cover of the robotic sheath, wherein the robotic sheath is removable from the surgical robotic manipulator with the surgical robotic manipulator being stationary, and wherein a distal portion of the surgical robotic manipulator is disposed through the flexible seal of the surgical access platform.

11. The surgical robotic access system of claim 1, wherein portions of the robotic sheath is made with rigid materials to provide additional protection to the surgical robotic manipulator compared to other portions of the robotic sheath made with less rigid materials.

12. The surgical robotic access system of claim 11, wherein the other portions of the robotic sheath made with less rigid materials provide additional conformance of the robotic sheath with the surgical robotic manipulator.

13. A surgical robotic access system providing instrument access into a patient'"'"'s body, the surgical robotic access system comprising:

a surgical robotic access platform having a proximal portion disposed externally to a patient'"'"'s body and a distal portion positioned within the patient'"'"'s body, wherein the proximal portion of the surgical robotic access platform includes a flexible seal; and

a robotic sheath having a proximal end and a distal end, wherein the robotic sheath is insertable through the flexible seal of the surgical robotic access platform, wherein the robotic sheath has an expandable cover disposed at the distal end of the robotic sheath, wherein the expandable cover defines a cavity of the robotic sheath having a proximal opening and a distal opening and through which a surgical robotic manipulator is insertable therethrough,

wherein the flexible seal further comprises one or more monofilament lines molded into the flexible seal and weaved through apertures in a cap ring in a pattern with the middle of the pattern being clear of the one or more monofilament lines, wherein the one or more monofilament lines are made of a material different from a flexible material of the flexible seal, and wherein each of the monofilament lines have a thickness smaller than a thickness of the flexible material.

14. The surgical robotic access system of claim 13, wherein the pattern consists of one of a star, web, mesh, or mesh-lined pattern that reduces doming of the flexible seal during pneumoperitoneum.

15. The surgical robotic access system of claim 13, wherein ends of the one or more monofilament lines are tied in a knot, adhered, or loosely weaved thereby preventing deformation of the cap ring.

16. A surgical robotic access system providing instrument access into a patient'"'"'s body, the surgical robotic access system comprising:

a surgical robotic access platform having a proximal portion disposed externally to a patient'"'"'s body and a distal portion positioned within the patient'"'"'s body, wherein the proximal portion of the surgical robotic access platform includes a flexible seal; and

a robotic sheath having a proximal end and a distal end, wherein the robotic sheath is insertable through the flexible seal of the surgical robotic access platform, wherein the robotic sheath has an expandable cover disposed at the distal end of the robotic sheath, wherein the expandable cover comprises curved sides separated by a slit extending from the distal opening of the expandable cover to the proximal opening of the expandable cover and a flap biased in a closed position covering the distal opening of the expandable cover, and wherein the expandable cover defines a cavity of the robotic sheath having a proximal opening and a distal opening and through which a surgical robotic manipulator is insertable therethrough,

wherein;

the expandable cover of the robotic sheath is arranged to encase and surround a distal end of the surgical robotic manipulator within the cavity of the robotic sheath, and wherein the flexible seal is arranged to encase and surround the expandable cover of the robotic sheath to compress the expandable cover of the robotic sheath against the distal end of the surgical robotic manipulator thereby maintaining an insufflation gas seal between the robotic sheath and the flexible seal,

the expandable cover further comprises side flaps or walls that collectively define the cavity of the robotic sheath with the flaps,

the side flaps or walls are adapted to be moved or unfolded to provide the surgical robotic manipulator unobstructed access through the distal opening of the robotic sheath once the flap covering the distal opening of the expanding cover is in an open position, and

the side flaps or walls are not capable of reverting back to a closed position once in the open position.

17. The surgical robotic access system of claim 16, wherein the flap is planar and is movable to be disposed flushed against the distal opening of the expandable cover, and wherein the proximal opening of the expandable cover is larger in diameter than the distal opening of the expandable cover.

18. The surgical robotic access system of claim 16, wherein the side flaps or walls are removably attached to the flap.