Medical device using beam construction and methods

• US 20080004604A1
• Filed: 05/21/2007
• Published: 01/03/2008
• Est. Priority Date: 05/20/2006
• Status: Active Grant

• Current Assignee: Darrell Hartwick
• Original Assignee: Darrell Hartwick
• Inventors: Hartwick, Darrell
• Granted Patent: US 7,670,351 B2
• Time in Patent Office: Days
• US Class Current: 606/1
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots

Abstract

A medical device is provided with a flexible shaft having a first beam element with a first elongated cross section and a second beam element having a second elongated cross section. An end effector is located at a distal end of the flexible shaft and actuated by relative movement between the first beam element and the second beam element. In another example, a handle is located at a proximate end of the flexible shaft. A first control is mounted on the handle and is directly coupled to the first beam element for placing the first beam element in tension relative to the second beam element to thereby cause bending of at least a portion of the flexible shaft toward the first beam element.

Claims

1. A medical device, comprising:

a flexible shaft comprised of a first beam element having a first elongated cross section and a second beam element having a second elongated cross section; and

an end effector, located at a distal end of the flexible shaft and actuated by relative movement between the first beam element and the second beam element.

2. The medical device of claim 1, having a first axis along an elongated dimension of the first elongated cross section and a second axis along an elongated dimension of the second elongated cross section, the first axis being substantially parallel to the second axis.

3. The medical device of claim 2, wherein the flexible shaft has a higher bending stiffness in a direction substantially parallel to the first axis and the second axis than in a direction perpendicular to the first axis and the second axis.

4. The medical device of claim 1, wherein the first beam element and the second beam element each have a rectangular cross section having a ratio between a height dimension and a width dimension of at least 10:

1.

5. The medical device of claim 1, wherein the end effector is a grasper.

6. The medical device of claim 1, wherein the end effector comprises a third beam element and a fourth beam element that move relative to each other, and wherein the third beam element and the fourth beam element each have a rectangular cross section having a ratio between a height dimension and a width dimension of at least 10:

1.

7. The medical device of claim 6, wherein the third beam element and fourth beam element move relative to each other while coupled by a fifth beam element and sixth beam element in a four bar linkage.

8. The medical device of claim 1, wherein the first beam element and the second beam element are each formed of at least two pieces, each piece having an elongated cross section, the elongated cross sections of each beam element being parallel to each other.

9. The medical device of claim 1, wherein the first beam element and second beam element each extend from the end effector to a handle, the handle located at a proximate end of the flexible shaft.

10. The medical device of claim 1, further comprising:

a third beam element having a third elongated cross section with an elongated dimension substantially parallel to an elongated dimension of the first elongated cross section and an elongated dimension of the second elongated cross section, the third beam element mounted to a distal end of the flexible shaft and extending to a handle; and

a control, located at the handle and coupled to the third beam element for placing the third beam element in tension to bend the distal end of the flexible shaft in the direction of the third beam.

11. The medical device of claim 1, wherein the flexible shaft further comprises an outer sheath.

12. A medical device, comprising:

a flexible shaft comprised of a first beam element having an elongated cross section and a second beam element having an elongated cross section; and

a handle, located at a proximate end of the flexible shaft;

a first control, mounted on the handle, and directly coupled to the first beam element for placing the first beam element in tension relative to the second beam element to thereby cause bending of at least a portion of the flexible shaft toward the first beam element;

wherein the first beam element and second beam element each extend from the handle to a distal end of the flexible shaft.

13. The medical device of claim 12, wherein the first beam element and the second beam element each have a rectangular cross section having a ratio between a height dimension and a width dimension of at least 10:

1.

14. The medical device of claim 12, wherein the first beam element and the second beam element are fixedly coupled to each other at the distal end of the flexible shaft.

15. The medical device of claim 12, further comprising:

a third beam element having an elongated cross section and coupled to the distal end of the flexible shaft; and

a second control coupled to the third beam element for placing the third beam element in tension relative to at least one of the first beam element and the second beam element to thereby cause bending of at least a portion of the flexible shaft toward the third beam element.

16. The medical device of claim 15, wherein the first beam element, second beam element and third beam element are each formed of at least three pieces, each piece having an elongated cross section, the elongated dimensions of the elongated cross sections of each beam element being parallel to each other.

17. The medical device of claim 12, further comprising an end effector mounted to the distal end of the flexible shaft.

18. The medical device of claim 17, further comprising:

a third control coupled to a fourth beam element; and

wherein the end effector is a grasper actuated by the third control.

19. A method of actuating a medical device, comprising:

moving a control on a handle, the handle coupled to a flexible shaft;

in response to the act of moving the control, providing a desired result at a distal end of the flexible shaft by moving, within the handle and the flexible shaft, a first beam element relative to a second beam element, wherein the first beam element and the second beam element each have a ratio between a cross-sectional height dimension and a cross-sectional width dimension of at least 10;

1, thereby providing the flexible shaft with a higher bending stiffness in a direction of cross-sectional elongation of the first beam element and second beam element than in a direction perpendicular to the direction of cross-sectional elongation of the first beam element and second beam element.

20. The method of claim 19, further comprising, in response to the act of moving the first beam element relative to the second beam element, actuating an end effector located at the distal end of the flexible shaft.

21. The method of claim 19, wherein the act of moving the first beam element relative to the second beam element causes a movement of the distal end of the flexible shaft in a direction perpendicular to the direction of cross-sectional elongation of the first beam element and second beam element.