Rotational coupling device for surgical instrument with flexible actuators

• US 9,220,526 B2
• Filed: 03/20/2012
• Issued: 12/29/2015
• Est. Priority Date: 11/25/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Conlon, Sean P.
• Primary Examiner(s): SHI, KATHERINE MENGLIN
• Application Number:
  US13/425,103
• Publication Number:
  US 20120179148A1
• Time in Patent Office: 1,379 Days
• Field of Search: 606/142, 606/143, 606/148, 606/170, 606/174, 606/205, 606/207, 606/208
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/0038 Simultaneous actuation of two tools by pushing one button or the like
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2938 Independently actuatable jaw members, e.g. two actuating rods
• CPC Class Codes: F16C 1/101 Intermediate connectors for joining portions of split flexible shafts and/or sheathings
• CPC Class Codes: F16C 2316/10 in medical appliances, e.g. in diagnosis, dentistry, instruments, prostheses, medical imaging appliances
• CPC Class Codes: F16H 19/06 comprising flexible members, e.g. an endless flexible member
• CPC Class Codes: F16H 2019/0695 Generating pivoting movement of a joint

Abstract

Rotational couplers for use with surgical devices that are actuated by semi-flexible actuators such as wires and the like. The couplers enable the actuators to apply various actuation motions to actuation features on the surgical device as well as other actuators to apply axial and rotational motions to the surgical device to manipulate the device into various orientations relative to an elongate shaft to which the device is movably attached.

Claims

1. A rotational coupling for a surgical device that is movably coupled to an elongate shaft, wherein said rotational coupling comprises:

a first actuator, wherein the surgical device has at least one actuation feature thereon that is actuatable upon application of at least one first actuation motion from the first actuator;

a second actuator, wherein the surgical device is movable relative to the elongate shaft upon application of at least one second actuation motion from the second actuator;

a driver member coupled to the first actuator for receiving the at least one first actuation motion therefrom;

an idler member rotatably coupled to said driver member for selective rotation relative to said driver member about a longitudinal axis and configured to axially move as a unit with said driver member relative to the elongate shaft in response to the at least one first actuation motion, said driver member and said idler member movably supporting a portion of the second actuator therein; and

an output member coupled to said idler member and the surgical device for transferring the at least one first actuation motion from said idler member to the surgical device, wherein said output member is configured to move axially as a single unit with said idler member relative to said second actuator in response to the at least one first actuation motion, and wherein a distal end portion of said driver member and a proximal end portion of said idler member are rotatably coupled together by a coupler housing that is movably supported within the elongate shaft coupled to the surgical device.

2. The rotational coupling of claim 1 wherein the at least one first actuation motion applied by the first actuator is at least one axial motion and the at least one second actuation motion applied by the second actuator comprises at least one of axial motions and rotation motions.

3. The rotational coupling of claim 1 wherein the surgical device is articulatable relative to the elongate shaft upon application of the at least one second actuation motion.

4. The rotational coupling of claim 1 wherein the surgical device is rotatable relative to the elongate shaft upon application of the at least one second actuation motion.

5. A rotational coupling for a surgical device that is movably coupled to an elongate shaft, wherein said rotational coupling comprises:

a first actuator, wherein the surgical device has at least one actuation feature thereon that is actuatable upon application of at least one first actuation motion from the first actuator;

a second actuator, wherein the surgical device is movable relative to the elongate shaft upon application of at least one second actuation motion from the second actuator;

a driver member coupled to the first actuator for receiving the at least one first actuation motion therefrom;

an idler member rotatably coupled to said driver member for selective rotation relative to said driver member about a longitudinal axis and configured to axially move as a unit with said driver member relative to the elongate shaft in response to the at least one first actuation motion, said driver member and said idler member movably supporting a portion of the second actuator therein; and

an output member coupled to said idler member and the surgical device for transferring the at least one first actuation motion from said idler member to the surgical device, wherein said output member is configured to move axially as a single unit with said idler member relative to said second actuator in response to the at least one first actuation motion, and wherein the first actuator comprises a semi-flexible wire, wherein the second actuator comprises a semi-flexible wire, and wherein said output member comprises a semi-flexible wire.

6. A rotational coupling for a surgical device that is movably coupled to an elongate shaft, wherein said rotational coupling comprises:

a first actuator, wherein the surgical device has at least one actuation feature thereon that is actuatable upon application of at least one first actuation motion from the first actuator;

a second actuator, wherein the surgical device is movable relative to the elongate shaft upon application of at least one second actuation motion from the second actuator;

a driver member coupled to the first actuator for receiving the at least one first actuation motion therefrom;

an idler member rotatably coupled to said driver member for selective rotation relative to said driver member about a longitudinal axis and configured to axially move as a unit with said driver member relative to the elongate shaft in response to the at least one first actuation motion, said driver member and said idler member movably supporting a portion of the second actuator therein; and

an output member coupled to said idler member and the surgical device for transferring the at least one first actuation motion from said idler member to the surgical device, wherein said output member is configured to move axially as a single unit with said idler member relative to said second actuator in response to the at least one first actuation motion, and wherein said driver member comprises a proximal tubular member including a proximal axial passage extending therethrough and wherein said idler member comprises a distal tubular member including a distal axial passage therethrough.

7. The rotational coupling of claim 6 wherein a distal end of said proximal tubular member is movably supported in a coupler housing and wherein a proximal end of said distal tubular member is movably supported in said coupler housing such that said distal axial passage in said distal tubular member is substantially coaxially aligned with said proximal axial passage in said proximal tubular member to form a passageway through said rotational coupling to movably support an articulation actuator therethrough.

8. The rotational coupling of claim 7 wherein said passageway is configured to permit said articulation actuator to move axially and rotatably therethrough.

9. A rotational coupling assembly for a surgical instrument, wherein the surgical instrument includes an end effector that is movably coupled to an elongate shaft, and wherein said rotational coupling assembly comprises:

a first actuator configured to transmit at least one first actuation motion, wherein the end effector includes at least one actuation feature thereon that is actuatable upon application of the at least one first actuation motion;

a second actuator configured to transmit at least one second actuation motion, wherein the end effector is movable relative to the elongate shaft upon application of the at least one second actuation motion;

a driver member coupled to the first actuator for receiving the at least one first actuation motion therefrom;

an idler member rotatably coupled to said driver member for selective rotation relative to said driver member about a longitudinal axis, wherein said idler member is configured to axially move as a unit with said driver member relative to the elongate shaft in response to said at least one first actuation motion, wherein said driver member and said idler member movably support a portion of said second actuator; and

an output member configured to couple said idler member to the end effector for transferring said at least one first actuation motion from said idler member to the end effector, wherein said output member is configured to move axially as a single unit with said idler member relative to said second actuator in response to the at least one first actuation motion, and wherein a distal end portion of said driver member and a proximal end portion of said idler member are rotatably coupled together by a coupler housing that is movably supported within the elongate shaft coupled to the surgical device.

10. A rotational coupling for a surgical device that is movably coupled to an elongate shaft, wherein said rotational coupling comprises:

a first actuator, wherein the surgical device has at least one actuation feature thereon that is actuatable upon application of at least one first actuation motion from the first actuator;

a second actuator, wherein the surgical device is movable relative to the elongate shaft upon application of at least one second actuation motion from the second actuator;

a driver member coupled to the first actuator for receiving the at least one first actuation motion therefrom;

an idler member rotatably coupled to said driver member for selective rotation relative to said driver member about a longitudinal axis and configured to axially move as a unit with said driver member relative to the elongate shaft in response to the at least one first actuation motion, said driver member and said idler member movably supporting a portion of the second actuator therein; and

an output member coupled to said idler member and the surgical device for transferring the at least one first actuation motion from said idler member to the surgical device, wherein said output member is configured to move axially as a single unit with said idler member relative to said second actuator in response to the at least one first actuation motion, wherein said output member extends distally from said idler member, wherein said idler member extends distally from said driver member, and wherein said first actuator extends proximally from said driver member.

11. The rotational coupling of claim 10 wherein the first actuator comprises a semi-flexible wire, wherein the second actuator comprises a semi-flexible wire, and wherein said output member comprises a semi-flexible wire.

12. The rotational coupling of claim 10 wherein a distal end portion of said driver member and a proximal end portion of said idler member are rotatably coupled together by a coupler housing that is movably supported within the elongate shaft coupled to the surgical device.

13. The rotational coupling of claim 10 wherein the at least one first actuation motion applied by the first actuator is at least one axial motion and the at least one second actuation motion applied by the second actuator comprises at least one of axial motions and rotation motions.

14. The rotational coupling of claim 10 wherein said driver member comprises a proximal tubular member including a proximal axial passage extending therethrough and wherein said idler member comprises a distal tubular member including a distal axial passage therethrough.

15. The rotational coupling of claim 14 wherein a distal end of said proximal tubular member is movably supported in a coupler housing and wherein a proximal end of said distal tubular member is movably supported in said coupler housing such that said distal axial passage in said distal tubular member is substantially coaxially aligned with said proximal axial passage in said proximal tubular member to form a passageway through said rotational coupling to movably support an articulation actuator therethrough.

16. The rotational coupling of claim 15 wherein said passageway is configured to permit said articulation actuator to move axially and rotatably therethrough.

17. The rotational coupling of claim 10 wherein the surgical device is articulatable relative to the elongate shaft upon application of the at least one second actuation motion.

18. The rotational coupling of claim 10 wherein the surgical device is rotatable relative to the elongate shaft upon application of the at least one second actuation motion.