Surgical instrument guide device

• US 20090023995A1
• Filed: 05/27/2008
• Published: 01/22/2009
• Est. Priority Date: 07/20/2005
• Status: Active Grant

• Current Assignee: Endobotics, LLC
• Original Assignee: Cambridge Endoscopic Devices Inc.
• Inventors: Lee, Woojin
• Granted Patent: US 8,926,597 B2
• Time in Patent Office: Days
• US Class Current: 600/114
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/0057 Constructional details of force transmission elements, e.g. control wires
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/062 Needle manipulators
• 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 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/00367 Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes
• CPC Class Codes: A61B 2017/2905 : flexible
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/292 : connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 : with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/3445 : used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 2017/3447 : Linked multiple cannulas
• CPC Class Codes: A61B 34/70 : Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 34/71 : Manipulators operated by drive cable mechanisms

Abstract

An instrument guide device comprises an elongated guide shaft having proximal and distal ends and including an instrument lumen for receiving therethrough a manually operated instrument having an instrument shaft. A distal bendable member is disposed at the distal end of the guide shaft and a proximal bendable member is disposed at the proximal end of the guide shaft. Actuation means extends between the distal and proximal bendable members and provides a bending of the distal bendable member controlled from the proximal bendable member. The proximal bendable member is controlled from the manually operated instrument to cause a corresponding bending of said distal bendable member.

Claims

1. An instrument guide device comprising:

an elongated guide shaft having proximal and distal ends and including an instrument lumen for receiving therethrough a manually operated instrument having an instrument shaft and handle;

a distal bendable member disposed at the distal end of the guide shaft;

a proximal bendable member disposed at the proximal end of the guide shaft; and

actuation means extending between said distal and proximal bendable members and providing a bending of said distal bendable member controlled from said proximal bendable member;

whereby said proximal bendable member is controlled from said manually operated instrument to cause a corresponding bending of said distal bendable member.

2. The instrument guide device of claim 1 wherein said actuation means is constructed and arranged so that a bending of the proximal bendable member causes a like direction bending of the distal bendable member.

3. The instrument guide device of claim 1 wherein said actuation means is constructed and arranged so that a bending of the proximal bendable member causes an opposite direction bending of the distal bendable member.

4. The instrument guide device of claim 1 wherein said proximal bendable member is moveable in any direction.

5. The instrument guide device of claim 1 including a grip disposed between said proximal bendable member and the handle of said instrument and constructed and arranged to have a passage through which the instrument shaft extends.

6. The instrument guide device of claim 5 wherein said grip is formed as two pieces including a grip portion and a rotation knob and said grip and knob portions are supported for relative rotation therebetween.

7. The instrument guide device of claim 5 including means or securing the instrument handle to the grip.

8. The instrument guide device of claim 1 wherein said bendable members each comprise a unitary slotted structure having a plurality of discs separated by slots.

9. The instrument guide device of claim 1 wherein said guide shaft is rigid.

10. The instrument guide device of claim 1 wherein said guide shaft is flexible.

11. The instrument guide device of claim 1 including a plurality of proximal bendable members and a plurality of distal bendable members.

12. The instrument guide device of claim 1 wherein said actuation means comprises a plurality of cables that interconnect proximal and distal bendable members.

13. The instrument guide device of claim 1 wherein said guide shaft has at least two lumens for respectively accommodating separate instrument shafts.

14. The instrument guide device of claim 1 wherein said instrument has instrument proximal and distal bendable members.

15. A surgical instrument assembly comprising:

an elongated instrument shaft having proximal and distal ends;

a working member coupled from the distal end of the instrument shaft;

a control handle disposed at the proximal end of the instrument shaft;

a guide member for receiving the instrument shaft and including;

a guide shaft;

a distal motion means at the distal end of said guide shaft;

a proximal motion means at the proximal end of said guide shaft; and

actuation means extending between said distal and proximal motion means;

said working member extending beyond a distal end of the guide shaft at an operative site;

whereby any deflection of said proximal motion means causes a corresponding deflection of said distal motion means for control of said working member.

16. The surgical instrument assembly of claim 15 wherein said distal motion means comprises a distal bendable member and said proximal motion means comprises a proximal bendable member that is moveable in any direction.

17. The instrument guide device of claim 16 including a grip disposed between said proximal bendable member and the handle of said instrument and constructed and arranged to have a passage through which the instrument shaft extends.

18. The instrument guide device of claim 17 wherein said grip is formed as two pieces including a grip portion and a rotation knob and said grip and knob portions are supported for relative rotation therebetween.

19. The instrument guide device of claim 16 wherein said proximal bendable member comprises a unitary slotted structure having a plurality of discs separated by slots and further including a plurality of ribs interconnecting adjacent discs, said ribs being disposed at intervals about the member of less than 90 degrees.

22. The instrument guide device of claim 16 wherein said proximal bendable member includes a plurality of ribs interconnecting adjacent discs, said ribs being disposed at intervals about the member of less than 90 degrees.

23. The instrument guide device of claim 22 wherein said ribs are disposed at an interval on the order of 60 degrees.

20. A surgical instrument comprising:

an elongated instrument shaft having proximal and distal ends;

a working member disposed at the distal end of the instrument shaft; and

a control handle disposed at the proximal end of the instrument shaft;

said working member being coupled to the distal end of said elongated instrument shaft via a distal motion member;

said control handle coupled to the proximal end of said elongated instrument shaft via a proximal bendable member;

actuation means extending between said distal and proximal members whereby any deflection of said control handle with respect to said elongated instrument shaft causes a corresponding bending of said distal motion member for control of said working member;

wherein at least said proximal bendable member comprises a unitary slotted structure having a plurality of discs separated by slots.

21. The instrument guide device of claim 20 wherein said distal motion member also comprises a bendable member formed as a unitary slotted structure having a plurality of discs separated by slots.