Flexible wrist for surgical tool

• US 9,095,317 B2
• Filed: 07/02/2012
• Issued: 08/04/2015
• Est. Priority Date: 12/06/2002
• Status: Active Grant

• Current Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Original Assignee: Intuitive Surgical Operations, Inc. (Intuitive Surgical Holdings, LLC)
• Inventors: Cooper, Thomas G., Anderson, S. Christopher
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US13/539,954
• Publication Number:
  US 20130012928A1
• Time in Patent Office: 1,128 Days
• Field of Search: 606/1, 606/130, 606/205, 600/101, 600/102
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00142 with means for preventing contamination, e.g. by using a sanitary sheath
• CPC Class Codes: A61B 1/00149 using articulated arms
• CPC Class Codes: A61B 1/0058 using shape-memory elements
• CPC Class Codes: A61B 1/008 Articulations
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00309 Cut-outs or slits
• CPC Class Codes: A61B 2017/2901 Details of shaft
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• CPC Class Codes: A61B 2034/306 Wrists with multiple vertebrae
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms

Abstract

A tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. In one embodiment, a minimally invasive surgical instrument comprises an elongate shaft having a working end, a proximal end, and a shaft axis between the working end and the proximal end; and an end effector. A wrist member has a flexible tube including an axis extending through an interior surrounded by a wall. The wall of the flexible tube includes a plurality of lumens through which actuation cables extend, the lumens oriented generally parallel to the axis of the flexible tube. The wrist member has a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector.

Claims

1. An apparatus comprising:

a plurality of flexible axial members connected to each other, wherein each axial member forms a longitudinal segment of a tube, and wherein the axial members are longitudinally slidable relative to each other, the plurality of flexible axial members comprising a first member and a second member contacting each other, each of the plurality of axial members comprising a proximal end and a distal end; and

an actuation mechanism coupled to the proximal ends of the plurality of axial members, the actuation mechanism configured to longitudinally slide the first member relative to the second member to change a radius of curvature of the first member relative to a radius of curvature of the second member;

wherein changing the radius of curvature of the first member relative to the radius of curvature of the second member causes the tube to bend in pitch and yaw.

2. The apparatus of claim 1, wherein the plurality of flexible axial members are interlocked with each other.

3. The apparatus of claim 2, wherein the plurality of flexible axial members are interlocked with each other in a tongue and groove connection.

4. The apparatus of claim 1, wherein the plurality of flexible axial members are connected to each other at a distal end of the tube.

5. The apparatus of claim 1, wherein the tube is bent such that a radius of curvature of a first one of the flexible axial members is different from a radius of curvature of a second one of the flexible axial members.

6. The apparatus of claim 1, the actuation mechanism comprising a gimbal plate coupled to the proximal ends of the plurality of flexible axial members.

7. The apparatus of claim 1, further comprising:

a tool shaft;

wherein the actuation mechanism is coupled to the proximal end of the tool shaft; and

an actuation cable extending from the actuation mechanism through the tool shaft and terminating at a particular one of the flexible axial members.

8. The apparatus of claim 7, wherein the actuation cable extends through and terminates at a distal end of the particular one of the flexible axial members.

9. The apparatus of claim 1, wherein at least one axial member comprises an integrated cable.

10. The apparatus of claim 9, wherein each axial member comprising an integrated cable is coextruded over the integrated cable.

11. The apparatus of claim 1, the axial members comprising a flexible plastic material.

12. The apparatus of claim 1, the first and second members further comprising at least one cutout to reduce the structural stiffness of the tube.

13. The apparatus of claim 12, further comprising an end effector coupled to the distal ends of the plurality of flexible axial members.

14. The apparatus of claim 13, each of the plurality of flexible axial members comprising a lumen for receiving an actuation cable.

15. The apparatus of claim 14, further comprising at least three actuation cables, each actuation cable extending through a corresponding lumen in the plurality of axial members to the distal ends of the plurality of axial members.

16. The apparatus of claim 15, further comprising an outer cover wrapped around an external surface of the tube.