Hand-actuated articulating surgical tool

• US 8,105,319 B2
• Filed: 12/17/2008
• Issued: 01/31/2012
• Est. Priority Date: 07/20/2000
• Status: Expired due to Term

• Current Assignee: Carefusion 2200 Corporation (Becton, Dickinson & Co)
• Original Assignee: Carefusion 2200 Corporation (Becton, Dickinson & Co)
• Inventors: Doyle, Mark C., Caputo, Jimmy C.
• Primary Examiner(s): CAMPBELL, THOR S
• Application Number:
  US12/336,950
• Publication Number:
  US 20090105727A1
• Time in Patent Office: 1,140 Days
• Field of Search: None
• US Class Current: 606/1
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/2829 with a removable cover
• CPC Class Codes: A61B 2017/2908 Multiple segments connected by articulations
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2944 Translation of jaw members
• CPC Class Codes: A61B 2017/2948 Sealing means, e.g. for sealing the interior from fluid entry
• CPC Class Codes: A61B 2090/036 abutting on tissue or skin
• CPC Class Codes: A61B 34/35 for telesurgery
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery

Abstract

A double cylinder system is disclosed, comprising at least one controller being adapted to transmit hydraulic control signals; at least one slave being in fluid communication with the controller and being configured to respond to the hydraulic control signals transmitted by the controller; and at least one control line providing hydraulic communication between the controller and the slave. Also disclosed is a surgical device, comprising at least one controller located at a proximal end of the device, the controller being adapted to transmit hydraulic control signals; at least one manipulator, the manipulator being configured to be controlled by a human hand and to actuate the controller; at least one slave located at a distal end of the device, the slave being in fluid communication with the controller and being configured to respond to the hydraulic control signals transmitted by the controller; and at least one control line providing hydraulic communication between the controller and the slave.

Claims

1. A surgical device, comprising:

at least one controller located at a proximal end of the device, said controller being adapted to transmit hydraulic or mechanical control signals;

at least one manipulator, said manipulator being configured to be controlled by a human hand and to actuate said controller by mechanically transmitting control signals from the manipulator to the controller;

at least one slave located at a distal end of the device, said slave being configured to be inserted into the body of a patient and to respond to said hydraulic or mechanical control signals transmitted by said controller and said slave including a surgical tool; and

a control line configured to extend inside the body of a patient and to provide said hydraulic or mechanical control signals between the controller and the slave,

wherein movement of the surgical tool is caused directly by the force applied to the manipulator.

2. The surgical device according to claim 1, wherein the movement of the surgical tool can be effected by the force applied to the manipulator regardless of whether the control line is bent or unbent.

3. The surgical device according to claim 1, wherein the slave functions to bend or rotate the surgical tool according to a movement of the manipulator.

4. The surgical device according to claim 1, further comprising:

a cannula through which the slave extends into the body of the patient.

5. The surgical device according to claim 4, wherein the cannula comprises an intermediate portion adapted to hold a plurality of surgical tools configured to be attached to the slave.

6. The surgical tool according to claim 4, further comprising:

guide tubes attached to the cannula and including an opening through which the control line extends.

7. The surgical tool according to claim 1, wherein the guide tube is a low friction guide tube configured to allow longitudinal movement of the control line through the opening in the guide tube.

8. The surgical device according to claim 1, further comprising:

a restraint configured to attach to the cannula adjacent the exterior of the patient'"'"'s body, wherein the restraint includes a stopping portion configured to prevent the cannula above the restrain from entering the patient'"'"'s body.

9. The surgical tool according to claim 1, wherein the control line is a hydraulic control line.

10. The surgical device according to claim 9, further comprising a narrowing in said control line.

11. The surgical device according to claim 10, further comprising a piston, wherein the narrowing is configured to create resistance to movement of the piston.

12. The surgical device according to claim 10, wherein the narrowing in said control line is configured to be changed by a user.

13. The surgical device according to claim 9,

wherein the controller includes an inner control cylinder and an outer control cylinder surrounding at least a portion of the inner control cylinder and configured to move longitudinally with respect to the inner control cylinder and a piston within the inner control cylinder,

wherein the piston is attached to the outer control cylinder via a shaft configured to move the piston longitudinally with respect to the inner control cylinder through movement of the outer control cylinder.

14. The surgical device according to claim 13, wherein the slave includes an inner slave cylinder having a piston within the inner slave cylinder and an outer slave component connected to the piston within the inner slave cylinder via a shaft, wherein the piston is configured to move longitudinally with respect to the inner slave cylinder.

15. The surgical device according to claim 9, further comprising:

a second controller adapted to transmit hydraulic control signals; and

a second control line extending between the second controller and a second slave, wherein the second slave is in fluid communication with said second controller and is configured to respond to hydraulic signals transmitted by said second controller.

16. The surgical device according to claim 15, further comprising:

a third controller adapted to transmit hydraulic control signals; and

a third control line extending between the third controller and a third slave, wherein the third slave is in fluid communication with said third controller and is configured to respond to hydraulic signals transmitted by said third controller.

17. The surgical device according to claim 16, further comprising:

a fourth controller adapted to transmit hydraulic control signals; and

a fourth control line extending between the fourth controller and a fourth slave, wherein the fourth slave is in fluid communication with said fourth controller and is configured to respond to hydraulic signals transmitted by said fourth controller.

18. The surgical device according to claim 17, wherein the first slave includes an extend module, the second slave includes a rotate module, the third slave includes a bend module, and the fourth slave includes a grasp module.

19. The surgical device according to claim 18, wherein the extend module, rotate module, bend module, and grasp module are connected in series at the distal end of the surgical device.

20. The surgical device according to claim 19, wherein the extend module, rotate module, bend module, and grasp module are configured to be connected in any order.

21. The surgical device according to claim 9, wherein the movement of the surgical tool can be effected by the force regardless of whether the control line is bent or unbent.

22. The surgical device according to claim 1, further comprising:

a multiple control stroke system including;

a hydraulic reservoir;

a first check valve attached to the control line between the controller and the slave; and

a second check valve between the controller and the hydraulic reservoir.

23. The surgical device according to claim 22, further comprising a dump valve between the slave and the reservoir.

24. A surgical device, comprising:

a controller located at a proximal end of the device, said controller being adapted to transmit hydraulic control signals;

a slave located at a distal end of the device, said slave being configured to be inserted into the body of a patient and to respond to said hydraulic control signals transmitted by said controller, said slave including a bend module; and

a control line extending between the controller and the slave providing said hydraulic control signals between the controller and the slave,

wherein the bend module includes a spring bar and a plurality of pouches in hydraulic communication with the control line, and wherein the plurality of pouches are configured to cause the spring bar to bend as hydraulic fluid enters the pouches.

25. The surgical device according to claim 24, wherein each of the plurality of pouches includes an orifice configured to allow hydraulic fluid to enter the pouch.

26. The surgical device according to claim 24, wherein each of the plurality of pouches includes a valve configured to allow hydraulic fluid to enter the pouch.