Remotely activated endoscopic tools such as endoscopic biopsy forceps

• US 5,431,645 A
• Filed: 05/17/1993
• Issued: 07/11/1995
• Est. Priority Date: 05/10/1990
• Status: Expired due to Term

• Current Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Original Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Inventors: Rodriguez, Sergio, Mazzeo, Anthony, Palmer, Matthew A., Smith, Kevin W., Whittier, John R.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/062,891
• Time in Patent Office: 785 Days
• Field of Search: 128/4, 128/6, 128/751, 128/752, 606/1, 606/46-47, 606/205, 606/206, 606/207
• US Class Current: 606/1
• CPC Class Codes: A61B 10/02 Instruments for taking cell samples or for biopsy A61B10/0038 and A61B10/0045 take precedence; needle locating or guiding means A61B17/3403; samplers for enzymology or microbiology C12M1/26; sampling or preparing biological specimens G01N33/48
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• CPC Class Codes: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 2010/0225 for taking multiple samples
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/0088 ceramic
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61B 2018/1415 : multiple blades
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/146 : Scissors
• CPC Class Codes: A61B 2090/064 : for measuring force, pressure or mechanical tension
• CPC Class Codes: A61M 2025/0098 : having a strain relief at the proximal end, e.g. sleeve
• CPC Class Codes: A61M 2205/6081 : Colour codes

Abstract

Remote control actuators for endoscopic tools are provided. Each remote control actuator includes a driver, a coupler which couple the endoscopic tool to the driver, a power source which power the driver, and a controller coupled to the power source and/or the driver for controlling the power applied to the driver. In conjunction with the controller, a user interface is preferably provided for user control of the remote control actuator which actuates the endoscopic tool. In addition, a sensing/feedback mechanism is preferably provided between the driver and the endoscopic tool and is coupled to the controller and/or the power source. The sensing/feedback mechanism senses the amount of tension or compression on the pull wire(s) of the endoscopic tool and provides a related signal to the controller so that the force applied to the endoscopic tool may be regulated. Various types of power sources are disclosed including electric, mechanical, hydraulic, and pneumatic. Various types of drivers are disclosed, including a motor/linear actuator, a hydraulic or pneumatic piston, and a motor with or without reduction gears coupled to a pulley and belt or a sprocket and chain or a rack and pinion. In addition, several couplers, controllers, user interfaces, and sensing/feedback mechanisms are disclosed.

Claims

1. A remotely operable actuator for use with an endoscopic tool having a hollow tubular member and a control member extending through the tubular member, at least one end effector coupled to the distal ends of the tubular member and the control member, the tubular member and the control member having a proximal actuating end where the control member is movable through the tubular member to actuate the tool and effect movement of the at least one end effector, said actuator comprising:

a) coupling means adapted for mechanically attaching said actuator to the proximal actuating end of the tool;

b) drive means coupled to said coupling means for moving said coupling means to effect actuation of the tool;

c) power source means coupled to said drive means for powering said drive means;

d) interface means for accepting commands from a user to at least partially control said moving of said drive means, said interface means coupled to one of said drive means and said power source means.

2. An actuator according to claim 1, further comprising:

e) control means coupling said interface means to one of said drive means and said power source means, said control means for controlling said moving of said drive means.

3. An actuator according to claim 2, further comprising:

f) sensing/feedback means coupled to said drive means and to said control means for sensing one of a position of said drive means and a force supplied by said drive means to said coupling means.

4. An actuator according to claim 1, wherein:

the proximal actuating end includes a thumb ring and a spool,

said coupling means includes thumb ring coupling means for attaching the thumb ring to said actuator and spool coupling means for attaching the spool to said actuator, and

said moving of said coupling means moves at least one of the spool relative to the thumb ring and the thumb ring relative to the spool.

5. An actuator according to claim 1, wherein:

the proximal actuating end includes first and second actuating members movable relative to each other,

said coupling means includes first and second coupling members for attaching the respective first and second actuating members to said actuator, at least one of said coupling members being movable, and

said moving of said coupling means moves at least one of the first coupling member relative to the second coupling member and the second coupling member relative to the first coupling member.

6. An actuator according to claim 1, wherein:

the proximal actuating end includes a pull wire and a coil surrounding said pull wire,

said coupling means includes a pull wire coupling means for attaching the pull wire to said actuator and a coil coupling means for attaching the coil to said actuator; and

said moving of said coupling means moves at least one of the pull wire relative to the coil and the coil relative to the pull wire.

7. An actuator according to claim 1, wherein:

said drive means comprises a linear actuator.

8. An actuator according to claim 1, wherein:

said drive means comprises an electric motor.

9. An actuator according to claim 8, wherein:

said motor is a stepper motor.

10. An actuator according to claim 8, wherein:

said drive means further comprises a belt and a pulley.

11. An actuator according to claim 8, wherein:

said drive means further comprises a motor, a chain and a sprocket.

12. An actuator according to claim 8, wherein:

said drive means further comprises a rack and a pinion.

13. An actuator according to claim 1, wherein:

said drive means comprises a piston and a cylinder.

14. An actuator according to claim 7, wherein:

said power source means comprises an electrical power supply.

15. An actuator according to claim 8, wherein:

said power source means comprises an electrical power supply.

16. An actuator according to claim 13, wherein:

said power source means comprises compressed air.

17. An actuator according to claim 13, wherein:

said power source means comprises pressurized hydraulic fluid.

18. An actuator according to claim 14, further comprising:

e) control means coupling said interface means to one of said drive means and said power source means, said control means for controlling said moving of said drive means, wherein said control means comprises an electronic control circuit.

19. An actuator according to claim 15, further comprising:

e) control means coupling said interface means to one of said drive means and said power source means, said control means for controlling said moving of said drive means, wherein said control means comprises an electronic control circuit.

20. An actuator according to claim 16, further comprising:

e) control means coupling said interface means to one of said drive means and said power source means, said control means for controlling said moving of said drive means, wherein said control means comprises a fluid metering valve.

21. An actuator according to claim 17, further comprising:

e) control means coupling said interface means to one of said drive means and said power source means, said control means for controlling said moving of said drive means, wherein said control means comprises a fluid metering valve.

22. An actuator according to claim 1, wherein:

said interface means comprises a foot switch coupled to said control means by a wire.

23. An actuator according to claim 1, wherein:

said interface means comprises a voice recognition circuit.

24. An actuator according to claim 1, wherein:

said interface means comprises a foot switch coupled to said control means by a wireless coupling.

25. An actuator according to claim 1, wherein:

said interface means comprises a finger actuated trigger switch coupled to an endoscope.

26. An actuator according to claim 1, wherein:

said interface means comprises a finger actuated rocker switch coupled to an endoscope.

27. An actuator according to claim 2, wherein:

said control means includes a comparator circuit having an input coupled to said interface means and an output coupled to said drive means.

28. An actuator according to claim 2, wherein:

said control means includes a flow metering valve coupled to said power source and said drive means.

29. An actuator according to claim 3, wherein:

said sensing/feedback means comprises a load cell coupled to said control means.

30. An actuator according to claim 3, wherein:

said sensing/feedback means comprises a position sensor coupled to said control means.

31. An actuator according to claim 30, wherein:

said position sensor is further provided with a spring which biases said position sensor to an extreme position.

32. An actuator according to claim 31, wherein:

said position sensor comprises a linear variable displacement transducer.

33. An actuator according to claim 31, wherein:

said position sensor comprises a variable resistor.

34. An actuator according to claim 31, wherein:

said position sensor comprises a proximity switch.

35. An actuator according to claim 3, wherein:

said sensing/feedback means comprises a current sensor and a comparator.

36. An actuator according to claim 3, wherein:

said sensing/feedback means comprises a fluid pressure sensor.

37. An actuator according to claim 3, wherein:

said control means comprises means for maintaining a constant force on the actuating end of the endoscopic tool in the absence of said user commands.

38. An actuator according to claim 37, where the endoscopic tool includes a pair of end effectors which are responsive to a force applied on the actuating end of the endoscopic tool, wherein:

said constant force holds the end effectors in a closed position.

39. An actuator for remote actuation of an endoscopic tool having a hollow tubular member and a control member extending through the tubular member, at least one end effector coupled to the distal ends of the tubular member and the control member, the tubular member and the control member having a proximal actuating end where the control member is movable through the tubular member to actuate the tool and effect movement of the at least one end effector, said actuator comprising:

a) a flexible coil having an internal pull wire;

b) a coupling device coupled to a distal end of said coil and a distal end of said pull wire, said coupling device being adapted to couple the proximal actuating end of the endoscopic tool to said distal end of said coil and said distal end of said pull wire; and

c) drive means coupled to a proximal end of said coil and pull wire for moving one of said coil and pull wire relative to another.

40. An actuator according to claim 39, wherein:

said drive means comprises a mechanical foot switch coupled to said proximal end of said coil and pull wire such that stepping on said foot switch moves one of said coil and pull wire relative to another.

41. An actuator according to claim 40, wherein:

said foot switch comprises a pulley coupled to said pull wire, a foot pedal coupled to said pulley, and a spring means biasing said foot pedal to a first position, whereby pressing said foot pedal against said spring means rotates said pulley to pull said pull wire.

42. An extension device for use with an endoscopic tool having a hollow tubular member and a control member extending through the tubular member, at least one end effector coupled to the distal ends of the tubular member and the control member, the tubular member and the control member having a proximal actuating end where the control member is movable through the tubular member to actuate the tool and effect movement of the at least one end effector, said extension device for coupling the proximal actuating end to a remotely located actuator, said extension device comprising:

a) a flexible coil having an internal pull wire;

b) a first coupling device coupled to a distal end of said coil and a distal end of said pull wire, said first coupling device being adapted to couple the proximal actuating end of the endoscopic tool to said distal end of said coil and said distal end of said pull wire; and

c) a second coupling device coupled to a proximal end of said coil and a proximal end of said pull wire, said second coupling device being adapted to couple said proximal end of said coil and said proximal end of said pull wire to said remotely located actuator.

43. An extension device according to claim 42, wherein:

the actuating end of the endoscopic tool includes a thumb ring and a spool and said first coupling means comprises a spool cradle and a thumb ring engaging boss, said boss being coupled to said pull wire.

44. An extension device according to claim 42, wherein:

said first coupling device and said second coupling device are matable male and female devices.