U.S. patent number RE43,049 [Application Number 10/013,170] was granted by the patent office on 2011-12-27 for rigidly-linked articulating wrist with decoupled motion transmission.
This patent grant is currently assigned to Intuitive Surgical Operations, Inc.. Invention is credited to Kenneth Grace.
United States Patent |
RE43,049 |
Grace |
December 27, 2011 |
Rigidly-linked articulating wrist with decoupled motion
transmission
Abstract
The present invention is a device having a rigidly linked jaw
that is decoupled from an articulating wrist. The device provides
for articulating motion as well as actuation that may be used in
grasping, cutting, suturing or the like.
Inventors: |
Grace; Kenneth (Goleta,
CA) |
Assignee: |
Intuitive Surgical Operations,
Inc. (Sunnyvale, CA)
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Family
ID: |
23104673 |
Appl.
No.: |
10/013,170 |
Filed: |
June 7, 2002 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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09262134 |
Mar 3, 1999 |
6436107 |
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08873190 |
Jun 11, 1997 |
6102850 |
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08755063 |
Nov 22, 1996 |
5855583 |
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Reissue of: |
09287860 |
Apr 7, 1999 |
6132441 |
Oct 17, 2000 |
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Current U.S.
Class: |
606/208;
600/104 |
Current CPC
Class: |
A61B
34/75 (20160201); A61B 17/062 (20130101); A61B
17/0469 (20130101); A61B 2017/2927 (20130101); Y10T
74/20317 (20150115); A61B 34/30 (20160201); A61B
2017/2936 (20130101) |
Current International
Class: |
A61B
17/44 (20060101) |
Field of
Search: |
;606/147,208,51,52,205
;600/104,141,142 ;318/568.11 ;700/85,245 ;74/490.04,490.06 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
Vertut, Jean and Coeffet, Philippe Coiffet; "Robot Technology; vol.
3A Teleoperation and Robotics Evolution and Development"; 1986;
Prentice-Hall, Inc; Englewood Cliffs, N.J. cited by other .
PCT/US00/09201 International Search Report, mailed Aug. 30, 2000, 1
page. cited by other .
EP08017470.9 Extended European Search Report, mailed Oct. 28, 2009,
6 pages. cited by other.
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Primary Examiner: Nguyen; Victor
Parent Case Text
CROSS-REFERENCE TO RELATED APPLICATIONS
This application is .Iadd.a reissue of application Ser. No.
09/287,860, filed Apr. 7, 1999, now U.S. Pat. No. 6,132,441, which
is .Iaddend.a continuation-in-part of application Ser. No.
09/262,134, filed Mar. 3, 1999, .[.pending.]. .Iadd.now U.S. Pat.
No. 6,436,107.Iaddend., which is a continuation-in-part of
application Ser. No. 08/873,190, filed Jun. 11, 1997, now U.S. Pat.
No. 6,102,850, which is a continuation-in-part of application Ser.
No. 08/755,063, filed Nov. 22, 1996, now U.S. Pat. No. 5,855,583.
.Iadd.This application is also the parent of divisional reissue
application Ser. No. 11/948,052, filed Nov. 30, 2007, pending, and
the parent of divisional reissue application Ser. No. 11/948,069,
filed Nov. 30, 2007, pending..Iaddend.
Claims
What is claimed is:
1. An articulating device for .[.tissue and needle manipulation.].
.Iadd.medical intervention and surgery.Iaddend., the device
comprising: .[.an elongated.]. .Iadd.a .Iaddend.housing having a
proximal end and a distal end; an articulation rod .[.extending
interior the housing, the articulation rod.]. having a proximal end
and a distal end; an actuation rod .[.extending interior the
housing, the actuation rod.]. having a proximal end
.[.and.]..Iadd., .Iaddend.a distal end.Iadd., and a longitudinal
axis.Iaddend.; .Iadd.a cylindrical rack adjacent the distal end of
the housing;.Iaddend. a rack driver .Iadd.adjacent the distal end
of the housing, the rack driver .Iaddend.in communication with
.Iadd.the distal end of .Iaddend.the actuation rod .[.at the distal
end thereof.]., the rack driver engaged with .[.a.]. .Iadd.the
.Iaddend.cylindrical rack .[.for translating the motion of the
actuation rod substantially about ninety degrees.]. .Iadd.to move
the cylindrical rack orthogonally to the longitudinal
axis.Iaddend.; and a jaw .Iadd.adjacent the distal end of the
housing, the jaw .Iaddend.in communication with the cylindrical
rack, .[.whereby movement of the cylindrical rack.]. .Iadd.the
cylindrical rack being orthogonally movable relative to the
longitudinal axis to .Iaddend.actuate.[.s.]. the jaw, the jaw
further in pivotal communication with .Iadd.the distal end of
.Iaddend.the articulation rod such that linear movement of the
articulation rod produces rotational movement of the jaw.Iadd.; the
actuation rod coupled to a pin, the pin confined to a rack channel
on the rack driver.Iaddend..
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention generally relates to surgical devices. More
particularly, the present invention relates to a device for
suturing during the performance of minimally invasive endoscopic
surgical procedures and more particularly to an articulating device
for use in endoscopic coronary artery by-pass grafting surgery.
2. Description of Related Art
Blockage of a coronary artery may deprive the heart of the blood
and oxygen required to sustain life. The blockage may be removed
with medication or by an angioplasty. For severe blockage, a
coronary artery bypass graft (CABG) is performed to bypass the
blocked area of the artery. CABG procedures are typically performed
by splitting the sternum and pulling open the chest cavity to
provide access to the heart. An incision may be made in the artery
adjacent to the blocked area. The internal mammary artery (IMA) or
some other arterial source of blood-flow may then be severed and
attached to the artery at the point of incision. The IMA bypasses
the blocked area of the artery to again provide a full flow of
blood to the heart.
Splitting the sternum and opening the chest cavity can create
tremendous trauma on the patient. Additionally, the cracked sternum
prolongs the recovery period of the patient. As such, there have
been developed systems that enable minimally invasive CABG
procedures. These systems utilize hand held tools and small
incisions, on the order of 3-5 inches in length, to provide access
to the thoracic region of a patient.
Such minimally invasive procedures are conducted by inserting
surgical instruments through small incisions, on the order of
inches in the skin of the patient. Manipulating such instruments
can be awkward, particularly when suturing a graft to an artery.
These systems utilize direct visualization of the surgical site.
Such systems do not enable a completely endoscopic approach to the
CABG procedure because of the need for direct visualization of the
site. Additionally, such systems do not enable a fully endoscopic
approach because of the incision size necessary to adequately
manipulate the surgical instruments at the surgical site.
A fully endoscopic approach utilizes small holes to provide access
to the thoracic cavity. Each of these holes is on the order of 3-11
mm in diameter. In order to perform a CABG procedure in a fully
endoscopic fashion (i.e. using 3-11 mm holes) a robotic system must
be used to filter hand tremors and scale motions made by the
surgeon.
To facilitate the performance of an endoscopic surgical procedure,
it would be useful to employ surgical instruments that can maneuver
to the surgical site as well as manipulate tissue or sutures to
perform an anastomosis.
To help minimize risk to the patient, and to minimize operating
time, what is needed in the art is a robotically actuated surgical
device that can articulate as well as actuate without being overly
complex in design.
SUMMARY OF THE INVENTION
The present invention is an articulating device for tissue and
needle manipulation, the device comprising:
An elongated housing having a proximal end and a distal end; an
articulation rod extending interior the housing, the articulation
rod having a proximal end and a distal end; an actuation rod
extending interior the housing, the actuation rod having a proximal
end and a distal end; a rack driver in communication with the
actuation rod at the distal end thereof, the rack driver engaged
with a cylindrical rack for translating the motion of the actuation
rod substantially about ninety degrees; and a jaw in communication
with the cylindrical rack, whereby movement of the cylindrical rack
actuates the jaw, the jaw further in pivotal communication with the
articulation rod such that linear movement of the articulation rod
produces rotational movement of the jaw.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a partial break-away perspective view of a device in
accordance with the present invention in a closed angled
configuration;
FIG. 2 is a partial break-away perspective view of a device in
accordance with the present invention in an open angled
configuration;
FIG. 3 is a cross-sectional perspective view of a device in
accordance with the present invention in an opened straight
configuration;
DETAILED DESCRIPTION OF THE INVENTION
Referring to the drawings more particularly by reference numbers,
FIGS. 1, 2 and 3 show a preferred embodiment of the articulating
actuating device 10. The device 10 includes a housing 12. The
housing extends substantially the length of the instrument 10 and
has a proximal end 14 and a distal end 16 and a longitudinal axis
X. Disposed interiorly the housing 12 is an articulation rod 20 and
an actuation rod 30. Each of the articulation rod 20 and the
actuation rod 30 have respective proximal ends 22, 32 and distal
ends 24, 34.
The proximal ends 22, 32 of the rods may be attached to a robotic
system for the performance of minimally invasive surgical
procedures. One such system is produced by Computer Motion, Inc.
The assignee hereof and is described in U.S. Pat. No. 5,855,583,
which is incorporated herein by reference.
The rods 20, 30 are attached to actuators via attachment means
taught in U.S. Pat. No. 5,855,583. Other means for removably
attaching a rod to an actuator are known in the art including the
use of screws, clips or the like. In this way, each of the rods 20,
30 may be driven by the actuator which is connected to various user
interfaces and power sources and are conducive to the performance
of minimally invasive surgical procedures.
The articulation rod 20 extends substantially the length of the
housing 12 along its longitudinal axis X. The articulation rod 20
is pivotally connected to a jaw 50. Such a pivotal connection may
be accomplished through the use of a hinge 52 attached intermediate
the articulation rod 20 and the jaw 50.
The jaw 50 pivotally communicates with the housing 12 at the distal
end 16 thereof through the use of a rack 60. In this way, motion of
the articulation rod 20 results in rotation of the jaw 50. The rack
60 provides a pivot about which the jaw 50 rotates.
The actuation rod 30 provides for actuation of the jaw 50. The
actuation rod has a pin 36 disposed at the distal end 34 thereof.
The pin 36 seats in a rack channel 72 disposed in a rack driver 70.
The rack driver is pivotally attached to the housing 12 via a pin
74 or the like. The housing has two longitudinal apertures 18, 19
formed therethrough at the distal end 16 thereof to provide for
lateral movement of the rack driver 70 which shall be described in
detail hereinbelow.
Longitudinal motion of the actuation rod 30 moves the pin 36 in the
rack channel 72 which translates the longitudinal motion of the
actuation rod 30 into a pivotal motion of the rack driver 70. The
rack driver 70 pivots about the pivot point defined by the pin 74
which attaches the rack driver 70 to the housing 12. The rack
driver 70 may move outside of the space defined as the interior of
the housing through the longitudinal apertures 18, 19.
The rack driver 70 has a shoulder 76 which engages the rack 60. As
the rack driver 70 pivots, the shoulder 76 causes the rack 60 to
move laterally, which is orthogonal to the longitudinal motion of
the actuation rod 30 and orthogonal to the longitudinal axis of the
housing 12. The rack 60 is slidably moveable within the housing 12
through two cylindrical apertures 13, 15 formed therethrough. As
the rack 60 moves laterally, the jaw 50 is actuated. The lateral
movement of the rack 60 is transferred to a first jaw element 54. A
second jaw element 56 is pivotally connected to the first jaw
element 54 via a pin 58 or the like and is held stationary with
respect to the first jaw element 54. In this way, as the first jaw
element is 54 is moved, the second jaw element 56 remains
stationary and the jaw 50 is actuated. If each element has a sharp
edge, then the jaw may function as a scissors.
The jaw 50 is always in communication with the rack 60, even as it
is articulated through the motion of the articulation rod 20. This
is accomplished through the use of a cylindrical rack having a
circumferential channel 66 formed therein. The channel 66 receives
the shoulder 76 of the rack driver 70 as well as a shoulder 58 on
the first jaw element 54. As such, as the jaw 50 is articulated,
the shoulder 58 on the first jaw element 54 rotates within the
circumferential channel 66 in the rack 60 maintaining communication
therein and providing for actuation of the jaw 50 regardless of the
articulated position of the jaw 50 caused through motion of the
articulation rod 20.
In this fashion, the articulation of the jaw 50 and the actuation
of the jaw 50 are decoupled. It is highly advantageous to provide
for a rigidly linked device that is decoupled in this fashion for
several reasons. First, the device is easily steralizable and
secondly, the device is quite safe to use as there is no use of
tensioned cables or the like.
While certain exemplary embodiments have been described and shown
in the accompanying drawings, it is to be understood that such
embodiments are merely illustrative of and not restrictive on the
broad invention, and that this invention not be limited to the
specific constructions and arrangements shown and described, since
various other modifications may occur to those ordinarily skilled
in the art.
* * * * *