Method of transferring rotational motion in an articulating surgical instrument

• US 8,568,444 B2
• Filed: 03/07/2012
• Issued: 10/29/2013
• Est. Priority Date: 10/03/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Cunningham, James S.
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): SHIPLEY, AMY R
• Application Number:
  US13/414,072
• Publication Number:
  US 20120165797A1
• Time in Patent Office: 601 Days
• Field of Search: 606205-208
• US Class Current: 606/205
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive 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 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/00738 part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2903 transferring rotary motion
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2017/294 Connection of actuating rod to jaw, e.g. releasable
• CPC Class Codes: A61B 2018/0063 Sealing

Abstract

An endoscopic surgical instrument includes an elongated shaft, which may be articulated to facilitate positioning of an end effector. The instrument accommodates reactionary forces associated with closing the end effector without substantial disruption to the position of the end effector. The instrument includes an elongated shaft housing generally defining distal and proximal shaft axes, and a torsion member extending through the shaft housing. The torsion member transmits rotational displacement from a handle portion of the instrument to the end effector to selectively move the end effector between open and closed configurations. The torsion member comprises a flexible shaft exhibiting a plurality of generally radial slots spaced longitudinally along a length of the flexible shaft.

Claims

1. A surgical instrument, comprising:

a torsion member extending through a shaft housing, the torsion member including a proximal end and a distal end;

a handle coupled to the proximal end of the shaft housing; and

an end effector coupled to the distal end of the shaft housing, the end effector configured to be movable between open and closed configurations in response to rotational movement of the distal end of the torsion member;

wherein the torsion member includes a flexible tube having a plurality of slots radially extending therethrough to define living hinges.

2. The surgical instrument according to claim 1, wherein the distal end of the torsion member is configured for rotational movement in response to rotational movement of the proximal end of the torsion member.

3. The surgical instrument according to claim 1, wherein the handle includes an actuation mechanism configured to selectively induce rotational movement at the proximal end of the torsion member.

4. The surgical instrument according to claim 3, wherein the actuation mechanism includes a motion converter for converting longitudinal motion supplied by the handle into rotational motion.

5. The surgical instrument according to claim 4, wherein the motion converter is coupled to a flexible arm that engages a head portion of a connector, which, in turn, is coupled to a piston.

6. The surgical instrument according to claim 5, wherein the piston is driven in a distal direction to drive a nut distally along a power screw mounted between bearing members, such that the power screw rotates about a proximal shaft axis defined by a proximal end of the shaft housing.

7. The surgical instrument according to claim 1, wherein the plurality of slots are radially offset with respect to one another to allow the torsion member to bend in a plurality of directions.

8. The surgical instrument according to claim 1, wherein the plurality of slots includes at least two opposed slots radially spaced relative to one another by about 180 degrees.

9. The surgical instrument according to claim 1, wherein the plurality of slots includes at least three slots radially displaced relative to one another by about 120 degrees.

10. A surgical instrument, comprising:

a torsion member extending through a shaft housing, the torsion member including a proximal end and a distal end;

a handle coupled to the proximal end of the shaft housing; and

an end effector coupled to the distal end of the shaft housing;

wherein the proximal end of the torsion member is coupled to a power screw and the distal end of the torsion member is coupled to an input shaft of the end effector to supply rotational motion thereto; and

wherein the torsion member includes a flexible tube having a plurality of slots radially extending therethrough to define living hinges.

11. The surgical instrument according to claim 10, wherein the distal end of the torsion member is configured for rotational movement in response to rotational movement of the proximal end of the torsion member.

12. The surgical instrument according to claim 10, wherein the handle includes an actuation mechanism configured to selectively induce rotational movement at the proximal end of the torsion member.

13. The surgical instrument according to claim 12, wherein the actuation mechanism includes a motion converter for converting longitudinal motion supplied by the handle into rotational motion.

14. The surgical instrument according to claim 13, wherein the motion converter is coupled to a flexible arm that engages a head portion of a connector, which, in turn, is coupled to a piston.

15. The surgical instrument according to claim 14, wherein the piston is driven in a distal direction to drive a nut distally along the power screw mounted between bearing members, such that the power screw rotates about a proximal shaft axis defined by a proximal end of the shaft housing.

16. The surgical instrument according to claim 10, wherein the plurality of slots are radially offset with respect to one another to allow the torsion member to bend in a plurality of directions.

17. The surgical instrument according to claim 10, wherein the plurality of slots includes at least two opposed slots radially spaced relative to one another by about 180 degrees.

18. The surgical instrument according to claim 10, wherein the plurality of slots includes at least three slots radially displaced relative to one another by about 120 degrees.

19. A surgical instrument, comprising:

a torsion member extending through a shaft housing, the torsion member including a proximal end and a distal end;

a handle coupled to the proximal end of the shaft housing; and

an end effector coupled to the distal end of the shaft housing, the end effector configured to be movable between open and closed configurations in response to rotational movement of the distal end of the torsion member;

wherein the handle includes an actuation mechanism configured to selectively induce rotational movement at the proximal end of the torsion member, the actuation mechanism including a motion converter for converting longitudinal motion supplied by the handle into rotational motion; and

wherein the motion converter is coupled to a flexible arm that engages a head portion of a connector, which, in turn, is coupled to a piston, the piston driven in a distal direction to drive a nut distally along a power screw mounted between bearing members, such that the power screw rotates about a proximal shaft axis defined by a proximal end of the shaft housing.

20. A surgical instrument, comprising:

a torsion member extending through a shaft housing, the torsion member including a proximal end and a distal end;

a handle coupled to the proximal end of the shaft housing; and

an end effector coupled to the distal end of the shaft housing;

wherein the proximal end of the torsion member is coupled to a power screw and the distal end of the torsion member is coupled to an input shaft of the end effector to supply rotational motion thereto;

wherein the handle includes an actuation mechanism configured to selectively induce rotational movement at the proximal end of the torsion member, the actuation mechanism including a motion converter for converting longitudinal motion supplied by the handle into rotational motion; and

wherein the motion converter is coupled to a flexible arm that engages a head portion of a connector, which, in turn, is coupled to a piston, the piston driven in a distal direction to drive a nut distally along the power screw mounted between bearing members, such that the power screw rotates about a proximal shaft axis defined by a proximal end of the shaft housing.