SURGICAL APPARATUS WITH FORCE LIMITING CLUTCH

• US 20110024145A1
• Filed: 07/30/2009
• Published: 02/03/2011
• Est. Priority Date: 07/30/2009
• Status: Active Grant

• Current Assignee: Kyphon SARL (Medtronic Plc)
• Original Assignee: Kyphon SARL (Medtronic Plc)
• Inventors: Donovan, Brian W., Click, Bryan A.
• Granted Patent: US 8,372,082 B2
• Time in Patent Office: Days
• US Class Current: 173/2
• 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 17/8822 characterised by means facilitating expulsion of fluid from the introducer, e.g. a screw pump plunger, hydraulic force transmissions, application of vibrations or a vacuum
• CPC Class Codes: A61B 17/8827 with filtering, degassing, venting or pressure relief means
• CPC Class Codes: A61B 17/8858 laterally or radially expansible inflatable A61B17/8855
• 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 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/447 with force limitation
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: A61F 2/441 made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel

Abstract

A force-limiting clutch for a surgical instrument includes a drive element and a transmission element. An actuator is coupled to the drive element, and a drive shaft is coupled to the transmission element for providing an output force. If the force input from the actuator to the clutch reaches a predetermined threshold, the force-limiting clutch “slips” and does not transfer the actuator force to the drive shaft to prevent excessive force/pressure output. Normally, drive features on the drive element engage with transmission features on the transmission element to transfer forces from the actuator to the drive shaft. When a threshold force is reached, the drive features slip past the transmission features. This clutch “breakpoint” determines the maximum loading that the surgical instrument can provide at its output. In various embodiments, multiple transmission features can be arranged in a serial manner, such that the force-limiting clutch provides multiple breakpoints.

Claims

1. A surgical system comprising:

a drive element comprising a first set of drive features;

an actuator for applying a drive force to the drive element;

a transmission element comprising a first set of transmission features; and

a drive shaft coupled to the transmission element,

wherein when the first set of drive features are engaged with the first set of transmission features in a first orientation, the drive element and the transmission element move together when the drive force is less than a first threshold force, and the first set of drive features slips past the first set of transmission features in a first direction when the drive force reaches the first threshold force.

2. The surgical system of claim 1, wherein the transmission element further comprises a second set of transmission features, and

wherein when the first set of drive features are engaged with the second set of transmission features in a second orientation, the drive element and the transmission element move together when the drive force is less than a second threshold force, and the first set of drive features slip past the second set of transmission features in the first direction when the drive force reaches the second threshold force.

3. The surgical system of claim 2, wherein the first threshold force is substantially equal to the second threshold force.

4. The surgical system of claim 2, wherein the first threshold force is less than the second threshold force.

5. The surgical system of claim 1, wherein when the first set of drive features are engaged with the first set of transmission features in a second orientation, the first set of drive features slips past the first set of transmission features in a second direction when a reset force applied to the drive element reaches a second threshold force,

wherein the second direction is opposite to the first direction, and

wherein the second threshold force is less than the first threshold force.

6. The surgical system of claim 5, wherein the first set of drive features are located on a surface of the drive element,

wherein each of the first set of drive features includes a leading surface and a trailing surface,

wherein the leading surface of each of the first set of drive features abuts one of the first set of transmission features in the first orientation,

wherein the trailing surface of each of the first set of drive features abuts one of the first set of transmission features in the second orientation, and

wherein the leading surface is more steeply angled with respect to the surface of the drive element than the trailing surface for each of the first set of drive features.

7. The surgical system of claim 5, wherein the first set of transmission features is located on a surface of the transmission element,

wherein each of the first set of transmission features includes a leading surface and a trailing surface,

wherein the leading surface of each of the first set of transmission features abuts one of the first set of drive features in the first orientation,

wherein the trailing surface of each of the first set of transmission features abuts one of the first set of drive features in the second orientation, and

wherein the leading surface is more steeply angled with respect to the surface of the transmission element than the trailing surface for each of the first set of transmission features.

8. The surgical system of claim 7, wherein the first set of drive features is located on a surface of the drive element,

wherein each of the first set of drive features includes a leading surface and a trailing surface,

wherein the leading surface of each of the first set of drive features abuts the leading surface of one of the first set of transmission features in the first orientation,

wherein the trailing surface of each of the first set of drive features abuts the trailing surface of one of the first set of transmission features in the second orientation, and

wherein the leading surface is more steeply angled with respect to the surface of the drive element than the trailing surface for each of the first set of drive features.

9. The surgical system of claim 1, wherein the first set of drive elements is located on a surface of the drive element,

wherein the transmission element further comprises a support structure, the first set of transmission elements being located on the support structure,

wherein the support structure is configured to move away from the surface of the drive element and snap back on to the drive element as the first set of drive features slips past the first set of transmission features in the first direction to create an audible signal.

10. The surgical system of claim 9, wherein the transmission element further comprises a housing, the support structure being cantilevered off of the housing.

11. The surgical system of claim 1, further comprising a bone filler material delivery system for dispensing bone filler material in response to advancement of the drive shaft.

12. The surgical system of claim 1, further comprising an expandable element for creating a cavity within cancellous bone, the expandable element being expandable in response to advancement of the drive shaft.

13. A kit including a surgical instrument for performing a surgical procedure, the surgical instrument comprising:

a drive element comprising a first set of drive features;

an actuator for applying a drive force to the drive element;

a transmission element comprising a first set of transmission features; and

a drive shaft coup ed to the transmission element,

wherein when the first set of drive features are engaged with the first set of transmission features in a first orientation, the drive element and the transmission element move together when the drive force is less than a first threshold force, and the first set of drive features slips past the first set of transmission features in a first direction when the drive force reaches the first threshold force.

14. The kit of claim 13, wherein the transmission element further comprises a second set of transmission features, and

wherein when the first set of drive features are engaged with the second set of transmission features in a second orientation, the drive element and the transmission element move together when the drive force is less than a second threshold force, and the first set of drive features slip past the second set of transmission features in the first direction when the drive force reaches the second threshold force.

15. The kit of claim 13, wherein when the first set of drive features are engaged with the first set of transmission features in a second orientation, the first set of drive features slips past the first set of transmission features in a second direction when a reset force applied to the drive element reaches a second threshold force,

wherein the second direction is opposite to the first direction, and

wherein the second threshold force is less than the first threshold force.

16. The kit of claim 15, wherein the first set of drive features is located on a surface of the drive element,

wherein each of the first set of drive features includes a leading surface and a trailing surface,

wherein the leading surface of each of the first set of drive features abuts one of the first set of transmission features in the first orientation,

wherein the trailing surface of each of the first set of drive features abuts one of the first set of transmission features in the second orientation, and

wherein the leading surface is more steeply angled with respect to the surface of the drive element than the trailing surface for each of the first set of drive features.

17. The kit of claim 15, wherein the first set of transmission features is located on a surface of the transmission element,

wherein each of the first set of transmission features includes a leading surface and a trailing surface,

wherein the leading surface of each of the first set of transmission features abuts one of the first set of drive features in the first orientation,

wherein the trailing surface of each of the first set of transmission features abuts one of the first set of drive features in the second orientation, and

wherein the leading surface is more steeply angled with respect to the surface of the transmission element than the trailing surface for each of the first set of transmission features.

18. The kit of claim 13, wherein the first set of drive elements is located on a surface of the drive element,

wherein the transmission element further comprises a support structure, the first set of transmission elements being located on the support structure,

wherein the support structure is configured to move away from the surface of the drive element and snap back on to the drive element as the first set of drive features slips past the first set of transmission features in the first direction to create an audible signal.

19. The kit of claim 13, wherein the surgical instrument further comprises a bone filler material delivery system for dispensing bone filler material in response to advancement of the drive shaft, and

wherein the kit further comprises directions for using the surgical instrument to deliver bone filler material to a vertebral body.

20. The kit of claim 13, wherein the surgical instrument further comprises an expandable element for creating a cavity within cancellous bone, the expandable element being expandable in response to advancement of the drive shaft, and

wherein the kit further comprises a tool for delivering bone filler material to the cavity.