Robotically controlled surgical instrument

• US 9,925,003 B2
• Filed: 12/09/2015
• Issued: 03/27/2018
• Est. Priority Date: 02/10/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Parihar, Shailendra K., Miller, Matthew C., Worrell, Barry C.
• Primary Examiner(s): VOORHEES, CATHERINE M
• Application Number:
  US14/963,905
• Publication Number:
  US 20160089209A1
• Time in Patent Office: 839 Days
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2018/1226 powered by a battery
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis

Abstract

A surgical tool is disclosed. The surgical tool has a tool mounting portion having a tool mounting housing, a tool mounting plate, and a coupler to couple a shaft assembly having an articulation section to the tool mounting portion. An articulation mechanism is located within the tool mounting portion and is configured to receive a proximal end of the shaft assembly to articulate the articulation section of the shaft assembly. The articulation mechanism has a cam mechanism operative to articulate the articulation section of the shaft assembly. An interface mechanically and electrically couples the tool mounting portion to a manipulator.

Claims

1. A surgical tool, comprising:

a tool mounting portion comprising a tool mounting housing, a tool mounting plate, and a coupler;

a shaft assembly comprising an articulation section and an end effector, wherein the shaft assembly is operatively coupled to the tool mounting portion via the coupler;

an articulation mechanism configured to receive a proximal end of the shaft assembly to articulate the articulation section of the shaft assembly, wherein the articulation mechanism comprises a cam mechanism configured to articulate the articulation section of the shaft assembly; and

an interface adapted to mechanically and electrically couple the tool mounting portion to a manipulator;

wherein the cam mechanism comprises;

a multiple cam assembly comprising a first cam portion and a second cam portion, wherein the multiple cam assembly is rotatably coupled to a rotatable body, wherein the rotatable body is coupled to a driven element adapted to rotatably couple to the interface, and wherein the first cam portion is configured to act on the first follower arm and the second cam portion is configured to act on the second follower arm in response to a rotation of the rotatable body;

a first follower arm operatively coupled to the first cam portion;

a second follower arm operatively coupled to the second cam portion;

a first articulation band attached to the first follower arm; and

a second articulation band attached to the second follower arm, wherein the first articulation band and the second articulation band extend to a distal end of the shaft assembly.

2. The surgical tool of claim 1, further comprising a first bushing and a second bushing mounted beneath the respective first follower arm and second follower arm to allow rotation of the shaft assembly without affecting articulating positions of the first follower arm and the second follower arm.

3. The surgical tool of claim 2, wherein the first bushing and the second bushing reciprocate with the corresponding first follower arm and second follower arm without affecting a rotation position of the shaft assembly.

4. The surgical tool of claim 1, wherein the articulation section of the shaft assembly articulates in a first direction, via the first articulation band, as the first cam portion acts on the first follower arm, and wherein the articulation section of the shaft assembly articulates in a second direction, via the second articulation band, as the second cam portion acts on the second follower arm.

5. The surgical tool of claim 1, wherein the multiple cam assembly comprises a neutral position.

6. A surgical tool, comprising:

a tool mounting portion comprising a tool mounting housing, a tool mounting plate, and a coupler to couple a shaft assembly comprising an articulation section to the tool mounting portion;

an articulation mechanism configured to receive a proximal end of the shaft assembly to articulate the articulation section of the shaft assembly, wherein the articulation mechanism comprises a cam mechanism operative to articulate the articulation section of the shaft assembly; and

an interface adapted to mechanically and electrically couple the tool mounting portion to a manipulator;

wherein the cam mechanism comprises;

a dual cam assembly comprising a first cam portion and a second cam portion, wherein the dual cam assembly is rotatably coupled to a rotatable body, and wherein the rotatable body is coupled to a driven element adapted to rotatably couple to the interface;

a first follower arm having a first end operatively coupled to the first cam portion;

a second follower arm having a first end operatively coupled to the second cam portion, wherein the first cam portion is configured to act on the first follower arm and the second cam portion is configured to act on the second follower arm in response to a rotation of the rotatable body;

a first articulation band attached to the first follower arm; and

a second articulation band attached to the second follower arm wherein the first articulation band and the second articulation band extend to a distal end of the shaft assembly.

7. The surgical tool of claim 6, wherein the first follower arm has a second end rotatably coupled to a first pivot spool and the second follower arm has a second end rotatably coupled to a second pivot spool.

8. The surgical tool of claim 6, further comprising a first bushing and a second bushing mounted beneath the respective first follower arm and second follower arm to allow rotation of the shaft assembly without affecting articulating positions of the first follower arm and the second follower arm.

9. The surgical tool of claim 8, wherein the first bushing and the second bushing reciprocate with the corresponding first follower arm and second follower arm without affecting a rotation position of the shaft assembly.

10. A surgical tool, comprising:

a tool mounting portion;

a shaft assembly comprising an articulation section, wherein the shaft assembly is operatively coupled to the tool mounting portion;

an articulation mechanism, comprising;

a multiple cam assembly comprising a first cam and a second cam, wherein the multiple cam assembly is rotatably coupled to at least one rotatable body portion;

a first follower lever arrangement comprising;

a first lever comprising an aperture through which a proximal end of the shaft assembly extends, wherein a first end of the first lever is rotatably coupled to a first pivot spool and a second end of the first lever operably interfaces with the first cam;

a first bushing rotatably mounted on the proximal end of the shaft assembly, wherein an outer cylindrical surface of the first bushing operably interfaces with the first lever aperture; and

a first articulation wire operably attached to the first lever;

a second follower lever arrangement comprising;

a second lever comprising an aperture through which the proximal end of the shaft assembly extends, wherein a first end of the second lever is rotatably coupled to a second pivot spool and a second end of the second lever operably interfaces with the second cam;

a second bushing rotatably mounted on the proximal end of the shaft assembly, wherein an outer cylindrical surface of the second bushing operably interfaces with the second lever aperture; and

a second articulation wire operably attached to the second lever;

wherein as the at least one rotatable body portion coupled to the multiple cam assembly rotates;

the first cam is operative to pivot the first lever about the first pivot spool such that the attached first articulation wire articulates the articulation section of the shaft assembly in a first direction; and

the second cam is operative to pivot the second lever about the second pivot spool such that the attached second articulation wire articulates the articulation section of the shaft assembly in a second direction.

11. The surgical tool of claim 10, wherein the tool mounting portion comprises a tool mounting housing, a tool mounting plate, and a coupler, and wherein the tool mounting plate operably supports a plurality of rotatable body portions coupled to a plurality of driven elements.

12. The surgical tool of claim 11, wherein the shaft assembly further comprises an elongate tube portion, wherein the articulation section extends distally from the elongate tube portion, and wherein the elongate tube portion is rotatably coupled to the tool mounting housing via the coupler.

13. The surgical tool of claim 12, further comprising an interface adapted to mechanically and electrically couple the tool mounting portion to a manipulator.

14. The surgical tool of claim 10, wherein as the at least one rotatable body portion coupled to the multiple cam assembly rotates in a counter-clockwise direction the articulation section of the shaft assembly articulates in a right direction, and wherein as the at least one rotatable body portion coupled to the multiple cam assembly rotates in a clockwise direction the articulation section of the shaft assembly articulates in a left direction.

15. The surgical tool of claim 14, wherein the multiple cam assembly comprises a neutral position.

16. The surgical tool of claim 10, wherein the first bushing and the second bushing are each configured to:

reciprocate with the corresponding first lever and second lever without affecting a rotation position of the shaft assembly; and

allow rotation of the shaft assembly without affecting the pivoting of the corresponding first lever and second lever.