Apparatus for positioning a medical instrument

• US 7,674,270 B2
• Filed: 06/21/2005
• Issued: 03/09/2010
• Est. Priority Date: 05/02/2002
• Status: Expired due to Fees

• Current Assignee: Laparocision, Inc.
• Original Assignee: Laparocision, Inc.
• Inventors: Layer, James H.
• Primary Examiner(s): Milano; Michael J
• Assistant Examiner(s): NGUYEN, VI X
• Application Number:
  US11/157,776
• Publication Number:
  US 20050234435A1
• Time in Patent Office: 1,722 Days
• Field of Search: 606/130, 606205-210, 600/101, 600/102, 600/104, 600/117, 600/587, 600/595
• US Class Current: 606/130
• 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 2017/3409 including needle or instrument drives
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

The present device provides an apparatus for securely positioning a medical instrument relative to a patient. The apparatus comprises a drive assembly for moving the medical instrument along a first axis that is substantially parallel to the length of the instrument; an adapter comprising an elongated member and a pair of cooperating hubs for connecting the drive assembly to a positioning system. The cooperating hubs serving to allow separation of sterile from non sterile components. The positioning system comprises two motors each for moving the instrument about a different axis than the drive assembly. The apparatus moving the instrument about a point which is external to the patient. The device further comprises a sterile bag which encloses the positioning system, the bag having at least one opening for receiving an axel from a sterile adapter assembly, thereby rendering the entire apparatus sterile.

Claims

1. An apparatus for positioning a medical instrument relative to a patient, said apparatus comprising:

a drive assembly for moving the medical instrument along a first axis that extends in a direction substantially parallel to the length of the instrument;

a rotable adapter for connecting the drive assembly to a positioning device, said adaptor comprising an axle for being received by the drive assembly and a pair of cooperating hubs, a first of said hubs extending from said axle and a second of said hubs being secured to said first hub by a holding member;

a positioning system comprising;

a substantially C-shaped arm having a first section comprised of said adapter;

a second section containing

a first motor system for rotating said adapter and medical instrument about a first point positioned outside the body of the patient and a second axis that extends substantially perpendicular to said first axis; and

a third section operatively connected to

a second motor system for rotating said adapter, said medical instrument and said first motor system about a third axis that extends substantially perpendicular to said second axis; and

a remote control unit for selectively operating at least one of said drive assembly motor, said first motor system and said second motor system.

2. An apparatus according to claim 1, wherein the drive assembly comprises a housing having an opening for receiving the medical instrument, and at least one drive motor.

3. An apparatus according to claim 2 wherein the drive assembly further comprises a plurality of friction rollers spaced from each other for moving the medical instrument within said medical instrument, wherein at least one friction roller is powered by the at least one drive motor.

4. An apparatus according to claim 1 wherein said drive assembly includes a housing containing at least one roller for engaging and moving the medical instrument, and wherein said adapter is secured to said drive assembly housing for rotating said drive assembly housing in response to the operation of said first motor system and/or second motor system.

5. An apparatus according to claim 1 wherein said second motor system rotates said adapter, said medical instrument and said first motor system about a second point outside the body of the patient that is spaced from said first point.

6. A system according to claim 1 wherein said drive assembly housing is moveable along the length of said support member so that said drive assembly housing can be adjustably spaced from the body of the patient.

7. An apparatus according to claim 1 wherein the medical instrument includes an endoscope.