Robotically controlled surgical instrument

• US 10,729,494 B2
• Filed: 03/21/2018
• Issued: 08/04/2020
• Est. Priority Date: 02/10/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Parihar, Shailendra K., Miller, Matthew C., Worrell, Barry C.
• Primary Examiner(s): Voorhees, Catherine M
• Application Number:
  US15/927,184
• Publication Number:
  US 20180280083A1
• Time in Patent Office: 867 Days
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2018/1226 powered by a battery
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis

Abstract

A surgical tool is disclosed. The surgical tool has a tool mounting portion having a tool mounting housing, a tool mounting plate, and a coupler to couple a shaft assembly having an articulation section to the tool mounting portion. An articulation mechanism is located within the tool mounting portion and is configured to receive a proximal end of the shaft assembly to articulate the articulation section of the shaft assembly. The articulation mechanism has a cam mechanism operative to articulate the articulation section of the shaft assembly. An interface mechanically and electrically couples the tool mounting portion to a manipulator.

Claims

1. A surgical tool for use with a robotic surgical system, the surgical tool comprising:

a shaft assembly comprising an articulation section;

a tool mounting portion comprising a tool mounting housing, a tool mounting plate, and a coupler to couple the shaft assembly to the tool mounting portion;

an articulation mechanism configured to receive a proximal end of the shaft assembly to articulate the articulation section of the shaft assembly;

an interface to mechanically and electrically couple the tool mounting portion to the robotic surgical system;

a battery located within the tool mounting portion; and

a radio frequency (RF) generation circuit comprising at least one electrical contact, wherein the RF generation circuit is operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact;

wherein the articulation mechanism comprises;

a first cam portion;

a second cam portion;

a first arm operably coupled to the first cam portion; and

a second arm operably coupled to the second cam portion; and

wherein the surgical tool further comprises;

a first articulation band operably coupled to the first arm and the shaft assembly, wherein the first articulation band is configured to articulate the articulation section in a first direction based on the first cam portion acting on the first arm; and

a second articulation band operably coupled to the second arm and the shaft assembly, wherein the second articulation band is configured to articulate the articulation section in a second direction based on the second cam portion acting on the second arm.

2. The surgical tool of claim 1, wherein the RF generation circuit comprises a parallel resonant circuit.

3. The surgical tool of claim 2, wherein the RF generation circuit comprises switching circuitry that generates a cyclically varying signal from an output of the battery, wherein the parallel resonant circuit is configured to receive the cyclically varying signal, and wherein the cyclically varying signal is duty cycle modulated.

4. The surgical tool of claim 1, further comprising a limit switch.

5. The surgical tool of claim 4, further comprising:

a jaw control system configured to rotate a first jaw relative to a second jaw between an open position and a closed position, wherein the jaw control system comprises;

a rotatable gear; and

a rack gear operably meshed with the rotatable gear, wherein the rack gear is configured to move distally based on rotation of the rotatable gear in a first direction, and wherein the rack gear is configured to move proximally based on rotation of the rotatable gear in a second direction.

6. The surgical tool of claim 5, wherein the rack gear is configured to compress the limit switch.

7. The surgical tool of claim 6, wherein the limit switch is configured to provide a signal to a controller based on the rack gear compressing the limit switch, and wherein the signal indicates the first jaw being in the closed position.

8. The surgical tool of claim 1, further comprising a shaft rotation assembly configured to rotate the shaft assembly, wherein the shaft rotation assembly comprises:

a first spiral worm gear; and

a second spiral worm gear operably coupled to the shaft assembly, wherein the first spiral worm gear is operably meshed with the second spiral worm gear.

9. A surgical tool for use with a robotic surgical system, the surgical tool comprising:

an elongate shaft comprising an articulation section;

a tool mounting portion comprising a tool mounting housing, a tool mounting plate, and a coupler configured to operably couple the elongate shaft to the tool mounting portion;

an articulation system configured to receive a proximal end of the elongate shaft to articulate the articulation section of the elongate shaft;

an interface configured to operably couple the tool mounting portion to the robotic surgical system;

a battery positioned on the tool mounting portion; and

a radio frequency (RF) generation circuit located within the tool mounting portion, the RF generation circuit operable to generate an RF drive signal;

wherein the articulation system comprises;

a first cam portion;

a second cam portion;

a first arm operably coupled to the first cam portion; and

a second arm operably coupled to the second cam portion; and

wherein the surgical tool further comprises;

a first articulation band operably coupled to the first arm and the elongate shaft, wherein the first articulation band is configured to articulate the articulation section in a first direction based on the first cam portion acting on the first arm; and

a second articulation band operably coupled to the second arm and the elongate shaft, wherein the second articulation band is configured to articulate the articulation section in a second direction based on the second cam portion acting on the second arm.

10. The surgical tool of claim 9, wherein the RF generation circuit comprises a parallel resonant circuit.

11. The surgical tool of claim 10, wherein the RF generation circuit comprises switching circuitry configured to generate a cyclically varying signal based on an output of the battery, wherein the parallel resonant circuit is configured to receive the cyclically varying signal, and wherein the cyclically varying signal is duty cycle modulated.

12. A surgical tool for use with a robotic surgical system, the surgical tool comprising:

an elongate shaft; and

a housing extending proximally from the elongate shaft, wherein the housing comprising;

a control system configured to control a function of the surgical tool;

a battery; and

a radio frequency (RF) generation circuit operable to generate an RF drive signal;

wherein the elongate shaft comprises an articulation section, and wherein the control system comprises an articulation system, and wherein the articulation system comprises;

a first cam portion;

a first arm operably coupled to the first cam portion; and

a first articulation band operably coupled to the first arm and the elongate shaft;

a second cam portion;

a second arm operably coupled to the second cam portion; and

a second articulation band operably coupled to the second arm and the elongate shaft.

13. The surgical tool of claim 12, wherein the RF generation circuit comprises:

a parallel resonant circuit; and

switching circuitry configured to generate a cyclically varying signal based on an output of the battery, wherein the parallel resonant circuit is configured to receive the cyclically varying signal.

14. The surgical tool of claim 12, wherein the first articulation band is configured to articulate the articulation section in a first direction based on the first cam portion acting on the first arm, and wherein the second articulation band is configured to articulate the articulation section in a second direction based on the second cam portion acting on the second arm.

15. The surgical tool of claim 12, wherein the control system comprises a jaw control system configured to rotate a first jaw relative to a second jaw between an open position and a closed position, and wherein the jaw control system comprises:

a rotatable gear; and

a rack gear operably meshed with the rotatable gear, wherein the rack gear is configured to move distally based on rotation of the rotatable gear in a first direction, and wherein the rack gear is configured to move proximally based on rotation of the rotatable gear in a second direction.

16. The surgical tool of claim 15, wherein the housing further comprises a limit switch, and wherein the rack gear is configured to compress the limit switch.

17. The surgical tool of claim 16, wherein the limit switch is configured to provide a signal to a controller based on the rack gear compressing the limit switch, and wherein the signal indicates the first jaw being in the closed position.