ENDOSCOPIC DEVICE

Information

  • Patent Application
  • 20210038289
  • Publication Number
    20210038289
  • Date Filed
    August 11, 2020
    4 years ago
  • Date Published
    February 11, 2021
    3 years ago
Abstract
The present application is directed to an endoscopic device with a shaft, with an end effector that is arranged at one end segment of the shaft and which comprises at least one tool piece, with an actuating unit which is designed for actuating the end effector and at least part of which extends through the shaft and which has at least one electrical pole conductor for providing at least one electrical potential, and with at least one movement converter which couples the end effector and the actuating unit to one another, at least mechanically. The movement converter is an electrically conductive in part and electrically connects at least the one electrical pole conductor to the tool piece.
Description
PRIOR ART

The invention relates to an endoscopic device according to the preamble of claim 1, to an endoscope and/or endoscopic instrument with an endoscopic device according to claim 24, to a surgical system with an endoscopic device according to claim 25, and to a method for operating and/or producing an endoscopic device according to claim 26.


An endoscopic device with a shaft, with an end effector which is arranged on an end segment of the shaft and which comprises at least one tool piece, with an actuating unit which is designed to actuate the end effector and at least part of which extends through the shaft and which has at least one electrical pole conductor for providing at least one electrical potential, as well as with at least one movement converter which couples the end effector and the actuating unit at least mechanically to one another has been proposed.


The object of the invention is in particular to provide a generic device with improved properties with regard to functionality. The object is achieved according to the invention by the features of claims 1, 24, 25 and 26, while advantageous refinements and developments of the invention can be found in the subclaims.


Advantages of the Invention

The invention is based on an endoscopic device with a shaft, with an end effector which is arranged on an end segment of the shaft and which comprises at least one tool piece, with an actuating unit which is designed to actuate the end effector and at least part of which extends through the shaft and which has at least one electrical pole conductor for providing at least one electrical potential, and with at least one movement converter which couples the end effector and the actuating unit to one another, at least mechanically.


It is proposed that the movement converter be embodied electrically conductive in part and at least electrically connect one electrical pole conductor to the tool piece.


In this way, an endoscopic device can advantageously be provided with a coagulation function. Further advantageously, a particularly compact and space-saving integration of a coagulation function can be attained in an endoscopic device.


An “endoscopic device” shall be construed to mean, in particular, a preferably functional component, in particular a subassembly and/or a structural and/or a functional component of an endoscopic instrument and/or an endoscope. Alternatively, the endoscopic device can be an endoscope and/or a endoscopic instrument, at least in part, preferably at least to a large extent, and particularly preferably completely. The term “endoscopic” shall also be construed to mean minimally invasive in particular. The expression “at least to a large extent” should in particular mean at least 55%, preferably at least 65%, preferably at least 75%, particularly preferably at least 85%, and very particularly preferably at least 95%, and advantageously completely, in particular with reference to a volume and/or a mass of an object. The endoscopic device is designed, for example, at least partially and preferably at least in large part, to be inserted into an in particular artificial and/or natural opening, in particular a bodily orifice, in order to undertake treatment and/or examination there. An endoscopic instrument can be, for example, an endoscopic nipper instrument, an endoscopic scissors instrument, an endoscopic scalpel instrument, an endoscopic clamp instrument, or the like. It is possible for the endoscopic device to be designed to provide at least one, two, or more electrical potentials, for example in order to incise tissue, close tissue, coagulate tissue, and/or the like. “Designed” shall in particular be construed to mean specially programmed, provided, embodied, formed and/or equipped. The fact that an object is designed for a specific function should in particular be construed to mean that the object satisfies and/or carries out this specific function in at least one application and/or operating mode. If the endoscopic device has, for example, at least one shaft, the latter is designed to be introduced, at least in part and preferably at least in large part, into an artificial and/or natural opening, in particular a bodily orifice. The shaft comprises, for example, at least one end segment and/or a further end segment, for example the end segment being a distal end segment and/or the further end segment being a proximal end segment. “Distal” shall in particular be construed to mean facing a patient during use and/or facing away from a user. “Proximal” shall in particular be construed to mean facing away from a patient during use and or facing a user. The shaft has, for example, a primary extension axis. A primary extension axis of an object shall be construed to mean an axis which runs through the geometric center and/or center of mass of the object and is at least substantially parallel to a main extension directly of the object. The “main direction of extension” of an object shall be construed to mean in particular a direction that runs parallel to a longest edge of a smallest imaginary cuboid that still completely surrounds the object. A longitudinal extension, for example of the shaft, is identical to its main extension direction. “At least substantially parallel” shall herein be construed to mean in particular an orientation of a direction relative to a reference direction, in particular in a plane, wherein the direction and the reference direction are at an angle of 0°, in particular taking into account a maximum deviation of less than 8°, advantageously less than 5°, and particularly advantageously less than 2°. A width can be measured at least substantially perpendicular to the longitudinal extension. “At least substantially perpendicular” herein shall in particular be construed to mean an orientation of a direction relative to a reference direction, in particular in a plane, wherein the direction and the reference direction are at an angle of 90°, in particular taking into account a maximum deviation of less than 8°, advantageously less than 5°, and particularly advantageously less than 2°. The endoscopic device can have a plurality of components which can be at least substantially identical to one another. “At least substantially identical” shall be construed to mean identical or identical excepting assembly and/or manufacturing tolerances. The endoscopic device can be embodied, at least in part, in one piece. The fact that “an object and a further object are embodied/connected, at least in part, in one piece” should be construed in particular to mean that at least an element and/or part of the object and at least an element and/or part of the further object are embodied/connected in one piece. “In one piece” shall be construed in particular to mean joined at least in a bonded fit, for example by means of a welding process, an adhesive process, a casting-on process, and/or another process which appears reasonable to the person skilled in the art. Furthermore, in one piece can also be construed to mean integral. “Integral” should be construed to mean, in particular, molded in one piece, such as, for example, by production from a casting and/or by production in a single or multi-component injection molding process and advantageously from a single blank. Components of the endoscopic device should be connected to one another, at least in part, in a positive and/or non-positive fit. A “non-positive and/or positive fit” shall be construed in particular to mean connected, preferably detachably connected, wherein a holding force between two objects is preferably transmitted via a geometrical engagement of the structural components with one another and/or via a frictional force which preferably acts between the objects. Alternatively or in addition, components of the endoscopic device can be joined to one another in a bonded fit. “Bonded fit” shall be construed to mean in particular that the objects are held together by atomic or molecular forces, such as, for example, with soldering, welding, gluing and/or vulcanizing. Furthermore, the endoscopic device can be part of a surgical system. A surgical system shall be construed to be in particular a system which is designed to carry out a surgical procedure, for example an endoscopic and/or minimally invasive procedure, and which comprises at least one surgical robot. The surgical robot can comprise at least one surgical robot arm or a plurality of surgical robot arms. The endoscopic device can be controllable and/or actuatable with the surgical robot, in particular the surgical robot arm. The endoscopic device can be detachably connectable to the surgical robot, for example, to enable exchange and/or cleaning of the endoscopic device. Furthermore, the surgical system can comprise at least one control device which is set up for manual and/or automated control of the surgical robot.


The shaft can have a deflectable segment. For deflecting the shaft, the endoscopic device can have at least one deflection mechanism. The deflection mechanism is designed in particular to mechanically deflect the deflectable segment of the shaft. The shaft can be deflected in particular in at least one further plane which differs from the at least one plane. For example, the further plane can be perpendicular to the plane. It is also possible for the shaft to be deflected in any plane along its circumference.


In particular, the deflection mechanism can comprise at least one and preferably a plurality of first connecting links which can be embodied to be at least substantially identical to one another. In particular, the deflection mechanism can comprise at least two and preferably a plurality of second connecting links which can be approximately at least substantially identical to one another. The first connecting links and the second connecting links can be arranged alternating in series. Except for the edge regions of the deflection mechanism, one connecting link can be adjacent to two second connecting links or vice versa. Furthermore, it is possible for at least one second connecting link to define an edge region of the deflection mechanism or for two second connecting links to define opposing edge regions of the deflection mechanism. A second connecting link can be embodied and/or connected, at least in part, in one piece to an end segment of the shaft and/or the end effector head. A first connecting link is enclosed by a second connecting link, in particular from two opposing sides. Furthermore, two first connecting links each engage in a second connecting link from two opposing sides. The first connecting link and the second connecting link can be connected to each other like a ball joint. In particular, the first connecting link has at least one ball head and the second connecting link has at least one ball socket, and these cooperate together in the manner of a ball joint.


The first connecting link is designed as a rotating body. The first connecting link has a first rotational symmetry axis. The first connecting link has in particular an olive-like shape. The second connecting link is embodied as a rotating body. The second connecting link has a second rotational symmetry axis. The second connecting link has in particular a disc-like shape. A “linear configuration distance” shall be construed in particular to mean a configuration of at least the first connecting link and the second connecting link, in particular of all first and second connecting links, in which configuration the first rotational symmetry axis and the second rotational symmetry axis, in particular all rotational symmetry axes of the connecting links, are oriented at least substantially parallel to one another or are even identical to one another. A “deflection configuration” shall be construed in particular to mean a configuration of at least the first connecting link and the second connecting link, in particular of all first and second connecting links, in which configuration the first rotational symmetry axis and the second rotational symmetry axis, in particular all rotational symmetry axes of the connecting links, are arranged at an angle to one another and are preferably offset to one another by an equal angle. “At an angle” shall be construed in particular to mean different from being arranged at least substantially in parallel.


The end effector and the actuating unit can additionally be coupled to one another electrically, for example in order to transmit at least one electrical potential from the actuating unit to the end effector, in particular to a tool piece of the end effector. The actuating unit has in particular at least one inner cable, which is preferably embodied flexible. In particular, the inner cable can be embodied to be flexible over an entire extent of the actuating unit. It is possible for the inner cable to be embodied electrically conductive, for example in order to transmit an electrical potential. Furthermore, the actuating unit can have at least one outer cable, which can advantageously be arranged coaxially surrounding the inner cable. In particular, the outer cable can be designed to be flexible over at least a large extent of an extension of the actuating unit. It is possible for the outer cable to be embodied to be electrically conductive, for example in order to transmit a further electrical potential. The outer cable could be embodied as a tube. For example, the outer cable could be embodied as a fabric.


The control element of the deflection mechanism is embodied in particular pliable. A “pliable component” shall be construed in particular to mean a component, preferably an elongate component, which has pliable properties at least in one direction perpendicular to a main direction of extension. This shall preferably be understood to mean in particular a dimensionally unstable component. Particularly preferably, this is shall be understood to mean, in particular, a component which, in an extended state, exerts a counterforce that acts parallel to a pressure force main direction of extension and that has a counterforce that is less than a weight force of the component. The counterforce is preferably a maximum of 70%, preferably a maximum of 50% and particularly preferably a maximum of 30% of a weight force. An “elongate component” shall be construed in particular to mean a component which has a transverse extension which is several times smaller than a longitudinal extension. “Several times smaller” shall be construed to mean in particular at least 3 times smaller, preferably at least 5 times smaller, and particularly preferably at least 10 times smaller.


That the “movement converter” at least mechanically couples the end effector and the actuating unit to one another shall be understood in particular to mean that the movement converter movably connects the end effector and the actuating unit to one another. Advantageously, the movement converter also electrically couples the end effector and the actuating unit to one another. Only part of the movement converter in particular is electrically conductive, in order in particular to prevent a short circuit with other parts and components. The movement converter electrically connects, in particular permanently, the electrical pole conductor to the tool piece.


It is proposed that the endoscopic device comprises at least one mechanical force path of the movement converter, via which force path a force is transmitted from the actuating unit to the tool piece, and at least one electrical conductive path of the movement converter, via which electrical conductive path the electrical potential is transmitted to the tool piece, at least are essentially identical. Installation space and components can advantageously be saved, as a result of which a compact and easy-to-clean endoscopic device can be provided, in particular for a surgical intervention. A “force path” shall be construed in particular to be a path along which a force, torque, and/or movement is transmitted from the actuating unit to the tool piece. A “conductive path” shall be construed to mean in particular a path along which an electrical potential and/or a current is transmitted from the actuating unit to the tool piece. The electrical pole conductor embodies, at least in part, the force path and/or the conductive path. The endoscopic device can have at least one further mechanical force path of the movement converter, via which force path a force can be transmitted from the actuating unit to a further tool piece of the end effector, the endoscopic device comprising at least one further electrical conductive path of the movement converter, via which conductive path a further electrical potential is transmitted to the further tool piece, which is at least substantially identical to the force path.


It is proposed that the movement converter be embodied, at least in part, from an insulating material, wherein components of the movement converter which are designed to transmit movement from the actuating unit to the tool piece are free, at least in part, preferably at least to a large extent, of the insulating material. Further conducting of the electrical potential can advantageously be improved. In particular, movement-transmitting components of the movement converter embody an electrical sliding contact via which the electrical potential can be transmitted.


It is further proposed that, for transmitting force, the movement converter has at least one thrust and/or traction piston which is connected to the actuating unit and which comprises at least one electrical pole conductor extension which is covered, at least in part, with an insulating material and which is electrically and/or mechanically connected to the electrical pole conductor of the actuating unit. Installation space can advantageously be further reduced. In particular, further conducting of the electrical potential, as well as a mechanical stability, can advantageously be improved. The thrust and/or traction piston, and in particular its pole conductor extension, embody/embodies, in particular at least in part, the force path and/or the conductive path. The thrust and/or traction piston has in particular a pin which is guided linearly within the end effector, in particular an end effector head of the end effector. The pin is electrically and/or mechanically connected, in particular on the proximal side, to the electrical pole conductor. Furthermore, the thrust and/or traction piston in particular has an anchor. The anchor can be arranged, for example, within an end effector fork of the end effector. The anchor is preferably connected and/or embodied in one piece with the pin. The anchor is in particular arranged on the distal side on the bolt. The pole conductor extension is covered or sheathed, in particular at least in part, and preferably at least to a large extent, with an insulating material. The pole conductor extension comprises at least one pole conductor sleeve in which the electrical pole conductor is inserted or connected. The pole conductor sleeve is arranged in particular in the region of the pin. The electrical pole conductor extension is embodied, in particular at least in part, and preferably at least to a large extent, from a metal.


It is further proposed that the electrical pole conductor extension is embodied as an essentially flat strip. The electrical pole conductor extension can advantageously be integrated in a compact manner in the thrust and/or traction piston. In particular further conducting of the electrical potential as well as mechanical stability can advantageously be improved. The pole conductor extension has in particular a pole conductor extension body which is embodied as a flat strip. The pole conductor extension body can embody, at least to a large extent, the pole conductor extension. The pole conductor sleeve is connected in a bonded fit, in particular on the distal side, to the pole conductor extension base body.


It is further proposed that the electrical pole conductor extension be embodied hook-shaped in a side view. Force transmission from the actuating unit to the thrust and/or traction piston can advantageously be improved.


It is proposed that the electrical pole conductor extension be embodied, at least in part, as a sheet metal component, in particular as a sheet metal component, in particular as a laser cutting sheet metal component. This advantageously allows improvement of an electrical current line along the latter. Production can advantageously be simplified further. In the present case, the pole conductor base body can be embodied as a sheet metal component. The electrical pole conductor extension can be obtained, for example, from a blank by punching. The electrical pole conductor extension is preferably obtained from a blank by laser cutting.


It is proposed that the thrust and/or traction piston has at least one coupling element, at least part of which is free of an insulating material and which is electrically and/or mechanically connected to the electrical pole conductor extension. A force and/or an electrical potential can advantageously be transmitted via an identical component of the movement converter or of the thrust and/or traction piston. In particular, a further conducting of the electrical potential and mechanical stability can advantageously be further improved. A number of components and installation space can also be advantageously reduced. The coupling element can be embodied, at least in part, from metal. In particular, the coupling element is connected to and/or embodied in one piece with the pole conductor extension. It is also possible for the coupling element to be embodied in a bonded fit with the pole conductor extension. The thrust and/or traction piston, and in particular its coupling element, embodies, in particular at least in part, the force path and/or the conductive path.


Furthermore, it is proposed that the movement converter comprises at least one pivot lever which is electrically and/or mechanically connected to the at least one tool piece and which is mechanically and/or electrically connected to the thrust and/or traction piston. Advantageously, a component and/or a force can be transmitted in a space-saving manner, and/or an electrical potential be transmitted. The pivot lever can be embodied, at least in part, from a metal. In particular, the pivot lever is connected and/or embodied in one piece with the tool piece. The pivot lever embodies, in particular at least in part, the force path and/or the conductive path. The pivot lever is arranged in particular positioned against the thrust and/or traction piston. The pivot lever is preferably arranged, at least in part and preferably at least to a large extent, within an end effector fork of the end effector.


It is also proposed that the pivot lever comprises a corresponding coupling element that is designed to correspond to the coupling element of the thrust and/or traction piston and that is free, at least in part, of an insulating material, wherein the coupling element and the corresponding coupling element are mechanically and/or electrically connected to one another. A force and/or an electrical potential can advantageously be transmitted via the same component of the movement converter or pivot lever. A number of components and installation space can also be advantageously reduced. The corresponding coupling element can be embodied, at least in part, from metal. In particular, the corresponding coupling element is connected and/or embodied in one piece with a pivot lever base body of the pivot lever. It is also possible for the corresponding coupling element to be embodied in a bonded fit with the pivot lever base body of the pivot lever. The corresponding coupling element of the in particular embodies, at least in part, the force path and/or the conductive path.


It is further proposed that the coupling element and the corresponding coupling element together define the pivot axis of the movement converter, which pivot axis is oriented at least substantially perpendicular to a primary extension axis of the end effector and is laterally offset thereto. A compact movement converter can advantageously be achieved. Furthermore, the coupling element and the corresponding coupling element embody a sliding contact along which the electrical potential can be transmitted from the thrust and/or traction piston to the pivot lever. In this way the coupling element and the corresponding coupling element embody at least in part, the force path and/or the conductive path.


It is also proposed that the actuating unit, for providing at least one further electrical potential, has at least one further electrical pole conductor which is embodied separately from the electrical pole conductor, and the movement converter connects, in part, at least the further electrical pole conductor to a further tool piece of the end effector. This can improve functionality of the endoscopic device with respect to providing a bipolar function. The further electrical pole conductor embodies, in particular at least in part, the further force path and/or conductive path.


It is proposed that the thrust and/or traction piston comprises at least one further electrical pole conductor extension, which is covered, at least in part, with an insulating material and which is arranged offset to the electrical pole conductor extension and which is electrically and/or mechanically connected to the further electrical pole conductor of the actuating element. Stability of the thrust and/or traction piston can be further improved in this way. The electrical pole conductor extension and the further electrical extension are covered, in particular at least to a large extent, with the insulating material.


It is proposed that in a side view the electrical pole conductor extension encloses, at least in part, the further electrical pole conductor extension. This can further improve stability of the thrust and/or traction piston. The pole conductor extension encloses, at least in part, a distal end segment of the further electrical pole conductor extension.


It is proposed that the thrust and/or traction piston has at least one further coupling element which is at least free, at least in part, preferably at least to a large extent, of an insulating material and which is electrically and/or mechanically connected to the further electrical pole conductor extension. The further coupling element is in particular substantially identical to the coupling element. A force and/or an electrical potential can advantageously be transmitted via an identical component of the movement converter or of the thrust and/or traction piston. Furthermore, a number of components or an installation space can advantageously be reduced. The further coupling element can be embodied, at least in part, from metal. In particular, the further coupling element is connected to and/or embodied in one piece with the further pole conductor extension. Furthermore, it is possible for the further coupling element to be embodied in a bonded fit with the further pole conductor extension. The thrust and/or traction piston, in particular its further coupling element, embodies, in particular at least in part, the force path and/or the conductive path.


It is also proposed that the further coupling element be arranged on a side of the thrust and/or traction piston opposing the coupling element. A compact arrangement can advantageously be achieved. Furthermore, a further conducting of the electrical potential and the further electrical potential via the two coupling elements can advantageously be achieved.


It is proposed that the movement converter comprises at least one further pivot lever which is connected to the at least one further tool piece of the end effector and which is electrically and/or mechanically connected to the thrust and/or traction piston. Advantageously, a component and/or a force can be transmitted in a space-saving manner, and/or a further electrical potential be transmitted. The further pivot lever can be embodied, at least in part, from a metal. In particular the further pivot lever is connected and/or embodied in one piece with the further tool piece. The further pivot lever in particular embodies, at least in part, the further force path and/or the further conductive path. The further pivot lever is in particular arranged positioned against the thrust and/or traction piston. The further pivot lever is preferably arranged, at least in part and preferably at least to a large extent, within an end effector fork of the end effector.


It is proposed that the further pivot lever be arranged on a side of the thrust and/or traction piston opposing the pivot lever. A compact arrangement can advantageously be achieved. Further advantageously it can be avoided that electrically conductive components of the movement converter project from the end effector head, an undesired short circuit or injury thus arising. In particular the pivot lever, thrust and/or traction piston, and further pivot lever are arranged stacked on one another. The pivot lever and the thrust and/or traction piston are arranged, in particular together, at least in part, preferably at least to a large extent, within the end effector fork of the end effector.


It is proposed that the further pivot lever comprises a further corresponding coupling element which is embodied corresponding to the further coupling element of the thrust and/or traction piston and which is, at least in part, free of an insulating material, wherein the further coupling element and the further corresponding coupling element are mechanically and/or electrically connected to one another. A force and/or an electrical potential can advantageously be transmitted via an equivalent component of the movement converter or pivoting lever. Further advantageously, a number of components or an installation space can be reduced. The further corresponding coupling element can be embodied, at least in part, from metal. In particular, the further corresponding coupling element is connected and/or embodied in one piece with the further pivot lever base body of the pivot lever. Furthermore, it is possible for the further corresponding coupling element to be embodied in a bonded fit with the further pivot lever base body of the pivot lever. The corresponding coupling element of the embodies in particular at least partially the force path and/or the conductive path.


It is proposed that the further coupling element and the further corresponding coupling element together define a further pivot axis which is oriented at least substantially perpendicular to a primary extension axis of the end effector and is laterally offset thereto, wherein the further pivot axis is different from the pivot axis which is defined by the coupling element and the corresponding coupling element. The further pivot axis is in particular at least substantially parallel to the pivot axis. Furthermore, the further coupling element and the further corresponding coupling element in particular embody a further sliding contact along which the further electrical potential can be transmitted from the thrust and/or traction piston to the further pivot lever. In this way, the further coupling element and the further corresponding coupling element embody, at least in part, the further force path and/or the further conductive path.


It is proposed that the end effector has an end effector head which is embodied, at least in part, preferably at least to a large extent, from an insulating material and within which the movement converter is arranged, at least to a large extent. A short circuit can advantageously be avoided or prevented. The end effector head can comprise, at least in part, metal. The end effector head can have an end effector base body which can comprise, for example, metal, which in turn is coated, at least in part and preferably at least to a large extent, with the insulating material.


It is proposed that the endoscopic device comprises an insulating material which has a CTI value of at least 150, preferably at least 300, preferably at least 450, and particularly preferably at least 600. This can advantageously avoid a short circuit between the components of the endoscopic device, in particular components that are positioned against one another. The insulating material is in particular a plastic. For example, the insulating material can be polyimide, polyethylene, polyester resin, polytetrafluoroethylene, polybutylene terephthalate. The insulating material is most preferably a cycloolefin copolymer.


It is proposed that the insulating material be arranged in a seamless manner. This can advantageously improve cleanability. In particular, it can be prevented or avoided that contaminants accumulate in seams between the insulating material and further components of the endoscopic device. For example, components which are embodied, at least in part, from the insulating material have at least one base body on which the insulating material is sprayed and/or which is overmolded by the insulating material.


Subject matter of the present disclosure shall not be limited to the application and embodiment described above. In particular, the subject matter of the present disclosure can have a number of individual elements, components, units, and method steps that differs from the number of individual elements, components, units, and method steps cited herein. In addition, for the value ranges specified in this disclosure, values lying within the stated limits are also to be regarded as disclosed and can be used as desired.


If there is more than one copy of a particular object, only one of them is provided with a reference symbol in the figures and in the description. The description of this copy can be applied accordingly to the other copies of the object.





DRAWINGS

Further advantages result from the following description of the drawings. Exemplary embodiments according to the disclosure are shown in the drawings. The drawings, description, and claims contain numerous features in combination. The person skilled in the art will usefully also consider the features individually and combine them into meaningful further combinations.


The figures are as follows:



FIG. 1 is a schematic perspective elevation of a surgical system with an endoscopic device;



FIG. 2 is a schematic side view of a part of the endoscopic device disposed in a linear configuration;



FIG. 3 is a schematic side view of a part of the endoscopic device in a deflection configuration;



FIG. 4 is a schematic sectional illustration of a part of the endoscopic device disposed in a linear configuration;



FIG. 5 is a schematic sectional illustration of a part of the endoscopic device disposed in a deflection position;



FIG. 6 is a schematic perspective elevation of a part of the endoscopic device in a partially disassembled state;



FIG. 7 is a schematic sectional illustration of at least a part of a further endoscopic device along a shaft of the endoscopic device;



FIG. 8 is a schematic sectional illustration of at least part of the endoscopic device from FIG. 7 transverse to a shaft of the endoscopic device;



FIG. 9 is a schematic perspective elevation of a part of the endoscopic device from FIG. 7;



FIG. 10 is a schematic sectional illustration of at least part of an alternative endoscopic device along a shaft of the endoscopic device in a linear configuration;



FIG. 11 is a schematic sectional illustration of at least a part of the endoscopic device from FIG. 10 along the shaft of the endoscopic device in a deflection configuration;



FIG. 12 is a schematic perspective elevation of at least a part of a further endoscopic device;



FIG. 13 is a schematic perspective elevation of at least a part of an additional endoscopic device in an assembly state;



FIG. 14 is a schematic perspective elevation of at least a part of the endoscopic device from FIG. 13 in a further assembly state;



FIG. 15 is a schematic perspective elevation of at least a part of the endoscopic device from FIGS. 13 and 14 in an additional assembly state;



FIG. 16 is a schematic plan view of at least a part of a further endoscopic device;



FIG. 17 is a schematic perspective elevation of at least a part of an alternative endoscopic device;



FIG. 18 is a schematic perspective elevation of at least a part of an alternative endoscopic device in an assembly state;



FIG. 19 is a schematic perspective elevation of at least a part of the endoscopic device from FIG. 18 in an assembled state;



FIG. 20 is a schematic perspective elevation of at least a part of the endoscopic device from FIG. 18 in an assembly state;



FIG. 21 is a schematic perspective elevation of at least a part of the endoscopic device from FIG. 18 in a further assembly state;



FIG. 22 is a schematic perspective elevation of at least a part of the endoscopic device from FIG. 18 in an assembled state;



FIG. 23 is a schematic side view of at least a part of an alternative endoscopic device in a linear configuration;



FIG. 24 is a schematic sectional view of at least a part of the endoscopic device from FIG. 23 along a shaft of the endoscopic device in the linear configuration;



FIG. 25 is a schematic side view of at least a part of the endoscopic device from FIGS. 23 and 24 in a deflection configuration,



FIG. 26 is a schematic sectional view of at least a part of the endoscopic device from FIGS. 23, 34 and 25 along the shaft of the endoscopic device in the deflection configuration;



FIG. 27 is a schematic perspective elevation of at least a part of an alternative endoscopic device in an assembly state.





DESCRIPTION OF THE EMBODIMENTS


FIG. 1 is a schematic perspective elevation of a surgical system 10a. The surgical system 10a comprises at least one surgical robot 12a. Furthermore, the surgical system 10a comprises at least one control device 14a. The control device 14a is designed to control the surgical robot 12a.


The surgical robot 12a is designed to guide at least one endoscopic device 16a of the surgical system 10a. To this end, the surgical robot 12a has at least one robot arm 18a. In an operating mode, the endoscopic device 16a is coupled to the robot arm 18a. The endoscopic device 16a can be detachably connected to the robot arm 18a, for example in order to exchange the latter, modify it, sterilize it, or the like. In the present case, the surgical robot 12a has a plurality of robot arms. Of the robot arms, for the sake of clarity only the robot arm 18a is provided with a reference symbol.


The surgical system 10a comprises at least one endoscopic device 16a. In the present case, the surgical system 10a comprises several endoscopic devices. The surgical robot 12a has one robot arm 18a per endoscopic device 16a. Of the endoscopic devices, for the sake of clarity only the endoscopic device 16a is provided with a reference symbol. The plurality of endoscopic devices could be substantially identical to one another. Essentially identical can mean the same apart from manufacturing and/or assembly tolerances. However, it is possible for at least some of the plurality of endoscopic devices to be different from one another and, for example, to differ from one another in a type of end effector and/or manner of functioning. Also, one skilled in the art would readily adapt the plurality of endoscopic devices to different surgical applications based on his expertise.


The endoscopic device 16a embodies at least part of an endoscopic instrument 20a. In the present case, the endoscopic device 16a completely embodies an endoscopic instrument 20a. However, an endoscopic device could be only one component of an endoscopic instrument. Furthermore, an endoscopic device, for example one of the plurality of endoscopic devices, could embody at least part of or the entire endoscope 22a. However, an endoscopic device could be only one component of an endoscope.



FIG. 2 is a schematic side view of a part of the endoscopic device 16a in a linear configuration. Further, FIG. 3 is a schematic side view of a part of the endoscopic device 16a in a deflection configuration.


The endoscopic device 16a has at least one shaft 26a. In the present case, the endoscopic device 16a has exactly one shaft 26a. The shaft 26a has a longitudinal direction 38a. The longitudinal direction 38a corresponds to a primary extension direction of the shaft 26a in the linear configuration. A longitudinal extension 40a of the shaft 26a extends along the longitudinal direction 38a of the shaft 26a.


The shaft 26a includes at least one end segment 28a. The end segment 28a is a distal end segment. The end segment 28a is designed for treating a patient. Furthermore, the shaft 26a has a further end segment 30a. The further end segment 30a is a proximal end segment. The further end segment 30a is designed for coupling to the surgical robot 12a, for example to its robot arm 18a thereof. The end segment 28a and the further end segment 30a oppose one another. Furthermore, the shaft 26a has a center segment 32a. The center segment 32a connects the end segment 28a and the further end segment 30a to one another. The middle segment 32a is arranged between the end segment 28a and the further end segment 30a.


The shaft 26a has a basic structure 34a. The basic structure 34a extends from the end segment 28a to the further end segment 30a of the shaft 26a. Furthermore, the shaft 26a has a shaft jacket 36a. The shaft jacket 36a surrounds at least part of basic structure 34a. In the present case, the shaft jacket 36a surrounds the basic structure 34a, at least to a large extent. The shaft jacket 36a is arranged coaxially with the basic structure 34a. The shaft jacket 36a surrounds at least part of the center segment 32a. In the present case, the shaft jacket 36a surrounds the center segment 32a, at least to a large extent. Furthermore, the shaft 26a can have a shaft sleeve. For the sake of clarity, a shaft sleeve is not shown in the figures, in order to be able to better illustrate the structure of the basic structure 34a. A shaft sleeve can be designed to seal the shaft 26a from the outside.


The shaft 26a has at least one deflectable segment 42a. The deflectable segment 42a is arranged between the end segment 28a and the further end segment 30a. The deflectable segment 42a is part of the central section 32a. The deflectable segment 42a is connected directly to the end segment 28a. The deflectable segment 42a is spaced apart from the further end segment 30a. Alternatively, it is possible for a deflectable segment to embody at least part of an end segment, for example a distal end segment. The deflectable segment could advantageously be surrounded by a shaft sleeve. At least part of the shaft sleeve can be embodied elastic and/or flexible. For example, the shaft cover can be a rubber tube.


The deflectable segment 42a can be deflected in at least one plane 44a. The plane 44a in FIG. 2 corresponds to an image plane of the figure. The deflectable segment 42a in the present case can even be deflected in a plurality of planes, of which for the sake of clarity only the plane 44a is provided with a reference symbol and is shown in the figures. In the present case, the deflectable segment 42a can even be deflected along an entire circumference of the shaft 26a. At least part of the deflectable segment 42a is embodied flexible.


The basic structure 34a of the shaft 26a has a collar 56a. The collar 56a embodies at least in part the end segment 28a of the shaft 26a. The collar 56a connects to the distal side of the deflectable segment 42a. Furthermore, the basic structure 34a of the shaft 26a has a further collar 58a. The further collar 58a embodies at least part of the center segment 32a of the shaft 26a. The further collar 58a is connected to the proximal side of the deflectable segment 42a.


The endoscopic device 16a has at least one deflection mechanism 46a. The deflection mechanism 46a is designed for deflecting the deflectable segment 42a of the shaft 26a. In the region of the deflectable segment 42a, the deflection mechanism 46a embodies at least part of the basic structure 34a of the shaft 26a.


The deflection mechanism 46a has at least one first connecting link 48a. In the present case, the deflection mechanism 46a has a plurality of first connecting links, for example three first connecting links. Of the plurality of first connecting links, for the sake of clarity only the first connecting link 48a is provided with a reference number. The plurality of first connecting links are embodied essentially identical. The plurality of first connecting links can be described in the same way as the first connecting link 48a. Alternatively, however, the plurality of first connecting links could also be embodied different from one another, at least in part.


The first connecting link 48a is symmetrical. The first connecting link 48a is essentially designed as a rotating body. The first connecting link 48a has a first rotational symmetry axis 52a. The first connecting link 48a has at least a dual rotational symmetry about the first rotational symmetry axis 52a. For example, a number of a first rotational symmetry could correspond to a number of planes in which the deflectable section can be deflected. In a linear configuration, the longitudinal direction 38a of the shaft 26a corresponds to the first rotational symmetry axis. Furthermore, the deflection mechanism 46a has at least one second connecting link 50a. In the present case, the deflection mechanism 46a has a plurality of second connecting links, for example four second connecting links. Of the plurality of second connecting links, for the sake of clarity only the second connecting link 50a is provided with a reference symbol. Unless stated otherwise, the plurality of second connecting links are embodied substantially identical. The plurality of second connecting links can thus be described in the same way as the second connecting link 50a. Alternatively, the plurality of second connecting links could also be embodied different from one another, at least in part.


At least part of the second connecting link 50a is arranged coaxially surrounding the first connecting link 48a. The second connecting link 50a has an outer diameter that is greater than an outer diameter of the first connecting link 48a. The second connecting link 50a has a disc-like and/or lenticular shape. The first connecting link 48a has an olive-like shape.


The second connecting link 50a is symmetrical. The second connecting link 50a is substantially embodied as a rotational body. The second connecting link 50a has a second rotational symmetry axis 54a. The second connecting link 50a has at least a dual rotational symmetry about the second rotational symmetry axis 54a. For example, a number of a first rotational symmetry could equal a number of planes in which the deflectable section can be deflected. Furthermore, a rotational symmetry of the second connecting link 50a can equal that of the first. In a linear configuration, the longitudinal direction 38a of the shaft 26a coincides with the second rotational symmetry axis 54a. Furthermore, in the linear configuration, the second rotational symmetry axis 54a coincides with the first rotational symmetry axis 52a.


A difference between a number of the plurality of first connecting links and a number of the plurality of second connecting links is not zero. In the present case, the difference equals the value one, so that the plurality of second connecting links always comprises one second connecting link 50a more than the plurality of first connecting links comprises first connecting links. The number of the plurality of first connecting links is odd. The number of the plurality of second connecting links is even. In the present case, the plurality of first connecting links comprises a total of three first connecting links. In addition, in the present case, the plurality of second connecting links comprises a total of four second connecting links.


Two of the plurality of second connecting links terminate the deflectable section 42a of the shaft 26a. One of the plurality of second connecting links, advantageously a distal second connecting link, is connected to the collar 56a. In the present case, the distal-side second connecting link 50a is connected in one piece to the collar 56a. This second connecting link 50a connects the deflection mechanism 46a at least partly in one piece to the end segment 28a of the shaft 26a.


Another of the plurality of second connecting links, advantageously a proximal second connecting link, is connected to the further collar 56a. In the present case, the proximal-side second connecting link 50a is connected in one piece to the further collar 58a. This second connecting link 50a connects the deflection mechanism 46a at least partly in one piece to the central segment 32a of the shaft 26a.


The first connecting link 48a and the second connecting link 50a are designed to cooperate with one another to deflect the shaft 26a. The first connecting link 48a and the second connecting link 50a are arranged in series.


The plurality of first connecting links and the plurality of second connecting links are arranged in series. The plurality of first connecting links and the plurality of second connecting links are arranged alternating. The plurality of first connecting links and the plurality of second connecting links are arranged such that a first connecting link of the plurality of first connecting links is followed by a second connecting link of the plurality of second connecting links. Furthermore, a second connecting link of the plurality of second connecting links is followed by a first connecting link of the plurality of first connecting links.


A first connecting link of the plurality of first connecting links is adjacent to at least one second connecting link of the plurality of second connecting links. Furthermore, a first connecting link of the plurality of first connecting links is arranged adjacent to two opposing second connecting links of the plurality of second connecting links. Each of the plurality of first connecting links is adjacent to two second connecting links of the plurality of second connecting links.


A second connecting link of the plurality of second connecting links is adjacent to at least one first connecting link of the plurality of second links. Furthermore, a second connecting link of the plurality of second connecting links is arranged adjacent two mutually opposing first connecting links of the plurality of second connecting links. Apart from second connecting links terminating the deflection mechanism, each of the plurality of second connecting links is adjacent to two first connecting links of the plurality of first connecting links.



FIG. 4 is a schematic sectional illustration of a part of the endoscopic device 16a in a linear configuration. Furthermore, FIG. 3 is a schematic sectional illustration of a part of the endoscopic device 16a in a deflection position.


The first connecting link 48a and the second connecting link 50a cooperate in the manner of a ball joint and/or vertebral bodies. The first connecting link 48a has at least one ball head 60a. The second connecting link 50a has at least one ball socket 62a. The ball socket 62a is embodied corresponding to the ball head 60a. In this way, the ball head 60a of the first connecting link 48a and the ball socket 62a of the second connecting link 50a engage in one another, so that the first connecting link 40a and the second connecting link 50a are borne movable with respect to one another. A reverse configuration, in which a first connecting link has a ball socket and the second connecting element has a ball head 60a, is also possible.


In the present case, the first connecting link 40a has two opposing ball heads 60a. Of the ball heads, for the sake of clarity only the ball head 60a is provided with a reference symbol. The ball heads are embodied substantially identical to one another. In the present case, the second connecting link 50a has two opposing ball sockets 62a. Of the ball sockets, for the sake of clarity only the ball socket 62a is provided with a reference symbol. The ball sockets 62a are embodied substantially identical to one another. Only the second connecting links of the plurality of second connecting links that terminate the deflection mechanism 46a each have only a single ball socket 62a.


A first connecting link 48a of the plurality of first connecting links is always enclosed by two opposing sides of two second connecting links of the plurality of second connecting links. In other words, opposing ball heads of a single first connecting link 48a of the plurality of first connecting links are each encompassed by a ball socket 62a of two second connecting links of the plurality of second connecting links. In this way, two ball sockets of two separate second connecting links of the plurality of second connecting links are positioned against two ball heads of a single first connecting link 48a of the plurality of first connecting links.


Furthermore, two first connecting links from two opposing sides always engage with one second connecting link 50a of the plurality of second connecting links. In other words, ball heads of two first connecting links of the plurality of first connecting links each engage in one of the opposing ball sockets 62a of a second connecting link 50a of the plurality of second connecting links. In this way, two ball heads of two separate first connecting links of the plurality of first connecting links are positioned against two ball sockets of a single second connecting link 50a of the plurality of second connecting links.


Only the second connecting links of the plurality of second connecting links that terminate the deflection mechanism 46a enclose only a single first connecting link 48a of the plurality of first connecting links. In other words, only one ball head 60a of a single first connecting link 48a of the plurality of first connecting links engages in each single ball socket 62a of the second connecting link 50a of the plurality of second connecting links that terminates the deflection mechanism. In this way, only a single ball head of a first connecting link 48a of the plurality of first connecting links is positioned in a single ball head 60a of a single second connecting link 50a of the plurality of second connecting links which terminates this deflection mechanism 46a.


In the linear configuration, which is illustrated in FIGS. 2 and 4, for example, a first rotational symmetry axis 52a of the first connecting link 48a and a second rotational symmetry axis 54a of the second connecting link 50a coincide with one another. In the deflection configuration, which is shown, for example, in FIGS. 3 and 5, the primary extension direction of the first connecting link 48a and the primary extension direction of the second connecting link 50a are arranged at an angle to one another. In the deflection configuration, an angle between the first rotational symmetry axis 52a of the first connecting link 48a and the second rotational symmetry axis 54a of the second connecting link 50a is at most 15°. A maximum angle is limited by the fact that two of the plurality of second connecting links which enclose a first connecting link of the plurality of first connecting links abut one another.


The first connecting link 40a has a first geometric center point 64a. Furthermore, the second connecting link 50a has a second geometric center point 66a. In the linear configuration, the first geometric center point 64a and the second geometric center point 66a are arranged offset to one another along the longitudinal direction 38a of the shaft 26a. In the linear configuration, there is a linear configuration distance 68a between the first connecting link and the second connecting link. The linear configuration distance 68a is defined by a shortest connection between the first geometric center point 64a of the first connecting link 48a and the second geometric center point 66a of the second connecting link 50a.


In the deflection configuration, the first geometric center point 64a and the second geometric center point 66a are arranged offset to one another. In the deflection configuration, there is a deflection distance 70a between the first connecting link 48a and the second connecting link 50a. In the deflection configuration, the deflection distance 70a is defined by a shortest connection between the first geometric center point 64a of the first connecting link 48a and the second geometric center point 66a of the second connecting link 50a. In the present exemplary embodiment, the deflection configuration distance 70a in the deflection configuration is equal to the linear configuration distance 68a in the linear configuration. Alternatively, the deflection distance could also be greater or less than the linear configuration distance 68a, for example depending on an embodiment of the connecting links.


The first connecting link 40a has at least one outer contour 72a. The outer contour 72a partially forms the ball head 60a of the first connecting link 48a. The outer contour 72a faces outwards. The outer contour 72a points in the direction of an environment of the shaft 26a. The outer contour 72a is not embodied concave. In the present case, the outer contour 72a is embodied convex. The outer contour 72a corresponds to an arc 76a. Alternatively, at least in segments, the outer contour could have a shape that differs from the shape of a circular arc, specifically for example it could be embodied in the shape of a circular involute, a cycloid, a paraboloid and/or an ellipsoid.


There is a diameter 74a of a smallest circular arc 76a that still completely encloses the outer contour 72a of the first connecting link 48a. In the present exemplary embodiment, this diameter 74a is essentially equal to a maximum width of the first connecting link. The width is measured perpendicular to the first rotational symmetry axis 52a and/or longitudinal direction 38a of the shaft 26a. However, it is also possible for a diameter to differ from a width, for example, to be greater than the width.


The second connecting link 50a has at least one inner contour 78a. The inner contour 78a embodies, at least in part, the ball socket 62a of the second connecting link 50a. The inner contour 78a of the second connecting link 48a is designed to cooperate with the outer contour 72a of the first connecting link. The outer contour 72a of the first connecting link 48a and the inner contour 78a of the second connecting link 50a are disposed opposing one another. The outer contour 72a and the inner contour 78a are positioned against one another at most in segments. The inner contour 78a of the second connecting link 50a is designed corresponding to the outer contour 72a of the first connecting link 48a. The inner contour 78a faces inwards. The inner contour 78a is not embodied concave. Furthermore, in the present case the inner contour 78a is linear. Alternatively, an inner contour could be formed at least in segments in an in particular convex shape of a circular involute, circular arc, cycloid, paraboloid, and/or ellipsoid.


The deflection mechanism 46a has at least one control element 80a. In the present case, the deflection mechanism 46a has a plurality of control elements 80a, for example at least three control elements. Of the plurality of control elements, for the sake of clarity only the control element 80a is provided with a reference symbol. The plurality of control elements are arranged offset to one another along a circumference of the shaft 26a. The plurality of control elements run substantially parallel to one another. Furthermore, the plurality of control elements are arranged coaxially surrounding at least the first connecting link or even the plurality of first connecting links. The plurality of control elements are embodied substantially identical, so that a description of the control element 80a applies to the plurality of control elements. Alternatively, the plurality of control elements could also be different from one another, at least in part.


The control element 80a is designed to adjust a deflection of the deflectable segment 42a of the shaft 26a. The control element 80a can be actuated by means of an actuating element. For the sake of clarity, the actuating element is not shown here. The actuating element can be part of the endoscopic device 16a or can even be part of the surgical robot 12a, specifically, for example, part of the robot arm 18a. The control element 80a extends through at least part of the shaft 26a. In the present case, the control element 80a extends through the entire shaft 26a. Furthermore, the control element 80a even extends partially beyond the shaft 26a, for example, to be coupled to an actuating element.


The control element 80a is coupled to the connecting links 48a, 50a. The connecting links 48, 50a are lined up on the control element 80a. The control element 80a keeps the connecting links 48a, 50a under prestress, at least in the linear configuration. Alternatively or additionally, a control element could be designed to rotate a shaft.


The control element 80a is embodied slack. In the present case, the control element 80a is embodied as a wire. The control element 80a is embodied from a stranded wire, for example a metal stranded wire. The control element 80a has a diameter 74a. The diameter can be at least 2.5% and/or at most 25% of an outer diameter of the shaft 26a. In the present case, the diameter 74a is 0.36 mm, for example.


The control element 80a is guided substantially parallel to the shaft 26a. The control element 80a runs at least segment-wise parallel to a longitudinal direction 38a of the shaft 26a. Furthermore, the control element 80a is guided doubled. The control element 80a is divided into a segment which is guided in the direction of the end segment 28a and away from the further end segment 30a and a segment which is guided away from the end segment 28a and in the direction of the further end segment 30a.


The second connecting link 50a has at least one through-guide 82a for guiding the control element 80a. The through-guide 82a has at least funnel-shaped or two funnel-shaped openings. In the present case, the second connecting link has a plurality of through-guides, of which for the sake of clarity only the passage guide is provided with a reference symbol. The plurality of through-guides are arranged offset to one another along a circumference of the second connecting link 50a. The plurality of through-guides are embodied substantially identical, so that a description of through-guide 82a applies to the plurality of through-guides. Alternatively, the plurality of through-guides could also be embodied different from one another, at least in part.


Two through-guides of the second connecting link 50a each guide a control element 80a. A through-guide 82a of the second connecting link 50a guides a segment of the control element 80a guided away from the further end segment 30a and a further through-guide 82a of the second connecting link 50a guides a segment of the control element 80a guided away from the end segment 28a.



FIG. 6 is a schematic perspective elevation of a part of the endoscopic device 16a in a partially disassembled state. The control element 80a is connected to the end segment 28a of the shaft 26a. A part of the control element 80a is arranged in the region of the end segment 28a of the shaft 26a, forming a loop 84a.


The end segment 28a of the shaft 26a has at least one element receptacle 86a. The element receptacle 86a is arranged on the collar 56a. The control element 80a is at least partially arranged in the element receptacle 86a. The part of the control element 80a embodying the loop 84a is arranged in the element receptacle 86a. Before the loop 84a, the element receptacle 86a guides the control element 80a in the direction of the end segment 28a of the shaft 26a. After the loop 84a, the element receptacle 86a again guides the control element 80a back towards the end segment 28a of the shaft 26a. For at least one axial threading of the control element 80a, the element receptacle 86a has at least one through-guide 88a.


In the present case, the element receptacle 86a has a plurality of through-guides. Of the through-guides, for the sake of clarity, only the through-guide 88a is provided with a reference symbol. The through-guides are arranged on the collar 56a. The through-guides are arranged offset to one another in the circumferential direction of the shaft 26a. Two through-guides of the end segment 28a each guide a control element 80a. Alternatively, two individual control elements could also be used instead of a deflected control element. A through-guide 82a of the second connecting link 50a guides a segment of the control element 80a led away from the further end segment 30a and a further through-guide 88a of the second connecting link 50a guides a segment of the control element 80a leading away from the end segment 28a.


The endoscopic device 16a has at least one end effector 90a. The end effector 90a is shown in a closed operating mode in FIGS. 2 and 4. The end effector 90a is shown in an open operating mode in FIGS. 3 and 5. In the present case, the endoscopic device 16a has exactly one end effector 90a. The end effector 90a is arranged on an end segment 28a of the shaft 26a. At least part of the end effector 90a is connected in one piece to the end segment 28a of the shaft 26a. In the present case, the end effector 90a is designed as a nipper. The end effector 90a can also be designed as shears, a clamp, pincers, scalpel, coagulator, stapler, test hook, or the like. An end effector could be designed to be electrically conductive in order advantageously to transmit current. An end effector could thus be unipolar, bipolar, or the like, for example.


The end effector 90a comprises at least one tool piece 92a. In the present case, the end effector 90a has at least one further tool piece 94a. The further tool piece 94a is designed to cooperate with the tool piece 92a. The further tool piece 94a is embodied substantially identical to the tool piece 92a. In the present case, the end effector 90a comprises a total of two tool pieces 92a, 94a. A tool piece could be a shears blade, a cutting edge, an electrode or another tool piece, in particular another surgical tool piece. In the present case, the tool piece 92a, 94a forms a jaw part. The jaw part is a branch-type element. The branch-type element can be adapted to a specific application.


The end effector 90a has an end effector head 96a. The end effector head 96a is connected in one piece to an end segment 28a of the shaft 26a. The end effector head 96a is formed in one piece with the collar 56a. Furthermore, the end effector head 96a is connected in one piece to the second connecting link which terminates the deflection mechanism 46a distally.


The end effector head 96a has an end effector fork 98a. The end effector fork 98a comprises at least one end effector leg 100a. Furthermore, the end effector fork 98a comprises a further end effector leg 102a. The end effector leg 100a and the further end effector leg 102a are connected opposing one another. The end effector leg 100a and the further end effector leg 102a are connected to one another. The end effector leg 100a and the further end effector leg 102a of the end effector head 96a are connected to one another in one piece.


The end effector head 96a defines an end effector socket 104a of the end effector 90a. Further components of the endoscopic device 16a, for example a movement converter 116a, can be arranged in the end effector socket 104a.


The endoscopic device 16a has at least one actuating unit 106a. In the present case, the endoscopic device 16a has exactly one actuating unit 106a. The actuating unit 106a is designed to actuate the end effector 90a. The actuating unit 106a can be actuated by means of an actuating element. The actuating element can be part of the endoscopic device 16a or even part of the surgical robot 12a, specifically the robot arm 18a, for example.


The actuating unit 106a extends at least through part of the shaft 26a. The actuating unit 106a runs centrally through the shaft 26a. In the present case, the actuating unit 106a extends through the entire shaft 26a. Furthermore, the actuating unit 106a even extends in part beyond the shaft 26a, for example in order to be coupled to an actuating element.


The actuating unit 106a is embodied flexible, at least in segments. The actuating unit 106a has at least one flexible segment 108a. The actuating unit 106a is embodied inflexible, at least in segments. Furthermore, the actuating unit 106a has at least one in the inflexible segment 110a. The inflexible segment 110a is less flexible compared to the flexible segment 108. The flexible segment 108a is arranged following the inflexible segment 110a.


The actuating unit 106a is arranged in the shaft 26a such that the flexible segment 108a of the actuating unit 106a is congruent with the deflectable segment 42a of the shaft 26a. The actuating unit 106a is thus designed to be flexible in the region of the deflectable segment 42a of the shaft 26a.


The actuating unit 106a has at least one inner cable 112a. The inner cable 112a is designed as a stranded wire. Alternatively, the inner cable could also have a solid wire. The inner cable 112a is designed at least for transmitting force mechanically. The inner cable 112a is embodied flexible, at least in segments, for example in the flexible segment of the actuating unit 106a. In the present case, the inner cable 112a is designed to be flexible across the entire extension of the actuating unit 106a.


The actuating unit 106a has at least one reinforcement 114a. The reinforcement 114a stiffens the actuating unit 106a, at least in part. The reinforcement 114a stiffens the actuating unit 106a at least in a region of the shaft 26a that is different from the flexible segment 108a. The reinforcement 114 stiffens the inner cable 112a segment-wise. The inner cable 112a is arranged coaxially surrounding the reinforcement 114a. The reinforcement 114a is embodied as a tube. The reinforcement 114a is embodied, at least in part, from a metal. Alternatively or additionally, the reinforcement 114a can be embodied, at least in part, from a plastic. The reinforcement 114a is arranged in the inflexible segment 110a of the actuating unit 106a. The flexible segment 108a of the actuating unit 106a, however, does not have a reinforcement 114a.


The endoscopic device 16a has at least one movement converter 116a. In the present case, the endoscopic device 16a has exactly one movement converter 116a. The movement converter 116a is designed to couple the end effector 90a and the actuating unit 106a to one another, at least mechanically. Alternatively, it would be possible for the movement converter also to connect the end effector and the actuating element to one another electrically.


The movement converter 116a is designed to convert a movement of the actuating unit 106a to a movement of at least one tool piece 92a. The movement of the actuating unit 106a is a linear movement. The movement of the tool piece 92a is a pivoting movement. It would be possible for the further tool piece 94a to be arranged in a fixed manner or, in other words, not to be movable. In the present case, however, the further tool piece 94a is also coupled to the actuating unit 106a via the movement converter 116a. The movement converter 116a is designed to convert a movement of the actuating unit 106a to a movement of the further tool piece 94a. The movement of the further tool piece 94a is a pivoting movement.


Regardless of an operating mode, the movement converter 116a is arranged in a non-emerging manner within at least part of the end effector 90a. In the present case, the movement converter 116a is arranged at least to a large extent in the end effector head 96a, regardless of operating mode. The movement converter 106a is arranged at least to a large extent in the end effector socket 104a of the end effector head 96a, regardless of operating mode. In a side view, the end effector head 96a covers the movement converter 116, at least to a large extent, regardless of operating mode. The movement converter 116a is covered on the side by the end effector fork 98a in that the latter is arranged congruent with the end effector legs 100a, 102a of the end effector fork 98a. In the present case, in a side view, at least one end effector leg 100a, 102a of the end effector fork 98a of the end effector head 96a covers the movement converter, at least to a large extent.


The movement converter 116a defines at least one pivot axis 118a. The pivot axis 118a is designed for swiveling the tool piece 92a. The pivot axis 118a is oriented at least substantially perpendicular to a primary extension axis 120a of the end effector 90a. The pivot axis 118a is arranged laterally offset from a primary extension axis 120a of the end effector 90a. In other words, the primary extension axis 120a of the end effector 90a and the pivot axis 118a do not intersect. There is also an imaginary plane which is parallel to the primary extension axis 120a of the end effector 90a and to which the pivot axis 118a is oriented substantially perpendicular.


The movement converter 116a has a mechanical force path. The movement converter 116a transmits a force from the actuating unit 106a at least to the tool piece 92a of the end effector 90a via the mechanical force path. In the present case, the movement converter 106a has at least one further mechanical force path. The movement converter transmits a force from the actuating unit 106a to the further tool piece 94a of the end effector 90a via the further mechanical force path.


The movement converter 116a comprises at least one thrust and/or traction piston 122a. In the present case, the movement converter 116a comprises exactly one thrust and/or traction piston 122a. The thrust and/or traction piston 122a is arranged in the end effector socket 104a, at least to a large extent, regardless of operating mode. In a side view, the thrust and/or traction piston 122a is covered by the end effector fork 98a, for example by the end effector leg 100a and/or the further end effector leg 102a of the end effector fork 98a. The thrust and/or traction piston 122a is connected to the actuating unit 106a at least for transmitting force. Furthermore, the thrust and/or traction piston 122a could be electrically connected to the actuating unit 106a.


The thrust and/or traction piston 122a is guided linearly. The end effector head 96a has a piston guide 126a. The piston guide 126a is embodied corresponding at least to a part of the thrust and/or traction piston 122a. The piston guide 126a is designed to linearly guide the thrust and/or traction piston 122a. The thrust and/or traction piston 122a has a pin 124a. The pin 124a has a cylindrical shape. The pin 124a is arranged in a piston guide 126a of the end effector head 96a.


The actuating unit 106a and the thrust and/or traction piston 122a are connected to one another at least in a positive and/or non-positive fit. In the present case, the thrust and/or traction piston 122a are even connected to one another in a friction fit. The actuating unit 106a and the thrust and/or traction piston 122a are connected to one another by plastic deformation of the thrust and/or traction piston 122a and/or of the actuating unit 106a. The thrust and/or traction piston 122a and/or the actuating unit 106a are crimped to one another. In the present case, the pin 124a of the thrust and/or traction piston 122a is designed for connecting to the actuating unit 106a.


The pin 124a of the thrust and/or traction piston 122a defines an actuating unit receptacle 128a. The actuating unit 106a is partially inserted into the actuating element receptacle 128a. The pin 124a is pressed with the actuating unit 106a. In this way, the actuating unit 106a is pressed in the pin 124a. Alternatively or additionally, the actuating unit and the thrust and/or traction piston could be connected to one another at least in a bonded fit. For example, the actuating unit and the thrust and/or traction piston could be soldered and/or glued to one another. For example, the pin 124a has filling holes into which an adhesive or solder can be introduced to create a bonded connection in the actuating unit receptacle.


The thrust and/or traction piston 122a has an anchor 130a. The anchor 130a is essentially plate-shaped. The anchor 130a has the shape of a substantially circular outline. The end effector fork 98a forms a stop for the anchor 130a. The anchor 130a is larger than the piston guide receptacle in at least one dimension. In this way, the anchor 130a limits a linear movement of the thrust and/or traction piston 122a or of the actuating unit 106a. The anchor 130a is arranged in the end effector socket 104a. In a side view, the anchor 130a is covered by the end effector fork 98a, for example by the end effector leg 98a and/or the further end effector leg 102a of the end effector fork 98a. The anchor 130a is connected to the pin 124a.


At least part of the thrust and/or traction piston 122a is made in one piece. In the present case, the anchor 130a and the pin 124a of the thrust and/or traction piston 122a are connected to one another in one piece. Alternatively, the thrust and/or traction piston could also be made in several parts. In the present case, the anchor 130a and the pin 124a are connected to one another in one piece. At least part of the thrust and/or traction piston 122a is embodied from metal. For example, the thrust and/or traction piston 122a can also be an injection molded component.


The movement converter 116a has at least one pivot lever 132a. The pivot lever 132a is connected at least mechanically to the thrust and/or traction pistons 122a. The pivot lever 132a is connected to the end effector 90a. The pivot lever 132a is connected to the tool piece 92a. In the present case, the pivot lever 132a is connected in one piece to the tool piece 92a. At least part of the pivot lever 132a is arranged in the end effector socket 104a. In the present case, at least part of the pivot lever 132a is arranged in the end effector socket 104a. In a side view, the pivot lever 132a is covered by the end effector fork 98a, for example by the end effector leg 100a and/or the further end effector leg 102a of the end effector fork 98a. The pivot lever 132a is positioned against the thrust and/or traction piston 122a, for example at the anchor 130a of the thrust and/or traction piston 122a.


The pivot lever 132a has a pivot lever base body 134a. The pivot lever base body 134a is essentially plate-shaped. In a side view, the pivot lever base body 134a has a circular outline. The pivot lever base body 134a is embodied in one piece with the tool piece 92a.


The movement converter 116a has a coupling mechanism 136a. The coupling mechanism 136a is designed at least for mechanically coupling the pivot lever 132a and the thrust and/or traction piston 122a. At least part of the coupling mechanism 136a is embodied by the pivot lever 132a. Furthermore, at least part of the coupling mechanism 136a is formed by the thrust and/or traction piston 122a. The coupling mechanism 136a has at least one coupling element 138a. The coupling mechanism 136a has at least one corresponding coupling element 140a. The corresponding coupling element 140a is embodied corresponding to the coupling element 138a. The coupling element 138a and the corresponding coupling element 140a together define the pivot axis 118a of the movement converter 116a which is oriented at least substantially perpendicular to a primary extension axis 120a of the end effector 90a and is laterally offset thereto.


The coupling element 138a is part of the thrust and/or traction piston 122a. The coupling element 138a is arranged on the anchor 130a of the thrust and/or traction piston 122a. The coupling element 138a is securely connected to the anchor 130a. The coupling element 138a is arranged offset to a geometric center point 64a, 66a of the anchor 130a. The coupling element 138a is arranged offset to the primary extension axis 120a. In the present case, the coupling element 138a is designed as a cam.


The corresponding coupling element 140a is part of the pivot lever 132a. The corresponding coupling element 140a is arranged on or connected to the pivot lever base body 134a. The corresponding coupling element 140a is arranged offset to a geometric center point 64a, 66a of the pivot lever base body 134a. The corresponding coupling element 140a is arranged offset to the primary extension axis 120a of the end effector 120a. In the present case, the corresponding coupling element 140a is embodied as a cam follower, for example in the form of a laterally open recess in the pivot lever 132a. If the thrust and/or traction piston 122a and the pivot lever 132a are coupled to one another by means of the coupling mechanism 136a, the coupling element 138a and the corresponding coupling element 140a engage in one another and make contact with one another. Alternatively, the configurations of the coupling element and the corresponding coupling element could also be switched with one another; for example, the coupling element could thus be embodied as a cam follower and the corresponding complement as a cam.


The movement converter 116a has a pivot bearing 142a. The pivot bearing 142a is designed at least for rotatably bearing the tool piece 92a relative to the end effector head 96a. The pivot bearing 142a is at least partially formed by the pivot lever 132a. Furthermore, the pivot bearing 142a is formed, at least in part, by the end effector head 96a. The pivot bearing 142a has at least one bearing element 144a. The pivot bearing 142a has at least one corresponding bearing element 146a. The corresponding bearing element 146a is embodied corresponding to the bearing element 144a. The bearing element 144a and the corresponding bearing element 146a together define a rotational axis 148a about which the tool piece 92a rotates when the tool piece 92a is actuated. The rotational axis 148a is oriented at least substantially perpendicular to a primary extension axis 120a of the end effector 90a and is laterally offset thereto. Furthermore, the rotational axis 148a is arranged substantially parallel to the pivot axis 118a. With respect to a primary extension axis 120a of the end effector 90a, the rotational axis 148a opposes the pivot axis 118a.


The bearing element 144a is part of the pivot lever 132a. The bearing element 144a is arranged on or connected to the pivot lever base body 134a. The bearing element 144a is arranged offset to a geometric center point 64a, 66a of the pivot lever base body 134a. The bearing element 144a is arranged offset to the primary extension axis 120a of the end effector 90a. The bearing element 144a opposes the corresponding coupling element 140a. In the present case, the bearing element 144a is designed as a cam.


The corresponding bearing element 146a is part of the end effector head 96a. The corresponding bearing element 146a is arranged on or connected to the end effector leg 100a of the end effector fork 98a. The corresponding bearing element 146a is arranged offset to a geometric center point 64a, 66a of the end effector leg 100a. The corresponding bearing element 146a is arranged offset to the primary extension axis 120a of the end effector 90a. In the present case, the corresponding bearing element 146a is embodied as a cam follower, for example in the form of a laterally open recess in the end effector leg 100a. If the pivot lever 132a and the end effector head 96a are rotatably borne with one another by means of the pivot bearing 142a, the bearing element 144a and the corresponding coupling element 140a engage with one another and make contact with one another. Alternatively, the embodiments of the bearing element and of the corresponding bearing element could also be switched with one another; for example, the bearing element could thus be embodied as a cam follower and the corresponding bearing element as a cam.


The movement converter 116a has at least one further pivot lever 150a. The further pivot lever 150a is at least mechanically connected to the thrust and/or traction piston 122a. The further pivot lever 150a is connected to the end effector 90a. The further pivot lever 150a is connected to the further tool piece 94a. In the present case, the further pivot lever 150a is connected in one piece to the further tool piece 94a. At least part of the further pivot lever 150a is arranged in the end effector socket 104a. In the present case, at least part of the further pivot lever 150a is arranged in the end effector socket 104a. In a side view, the further pivot lever 150a is covered by the end effector fork 98a, for example by the end effector leg 100a and/or the further end effector leg 102a of the end effector fork 98a. The further pivot lever 150a is positioned against the thrust and/or traction piston 122a, specifically, for example, against the anchor 130a of the thrust and/or traction piston 122a. The further pivot lever 150a is positioned on a side opposing the pivot lever 132a against the thrust and/or traction piston 122a.


The further pivot lever 150a has a further pivot lever base body 152a. The further pivot lever base body 152a is plate-shaped. In a side view, the further pivot lever base body 152a has a circular outline. The further pivot lever base body 152a is embodied in one piece with the further tool piece 94a.


The movement converter 116a has a further coupling mechanism 154a. The further coupling mechanism 154a is designed at least for mechanically coupling the further pivot lever 150a and the thrust and/or traction piston 122a. At least part of the further coupling mechanism 154a is embodied by the further pivot lever 150a. Furthermore, at least part of the further coupling mechanism 154a is formed by the thrust and/or traction piston 122a. The further coupling mechanism 154a has at least one further coupling element 156a. The further coupling mechanism 154a has at least one further corresponding coupling element 158a. The further corresponding coupling element 158a is embodied corresponding to the coupling element 156a. The further coupling element 156a and the further corresponding coupling element 158a together define the further pivot axis 160a of the movement converter 116a which is oriented at least substantially perpendicular to a primary extension axis 120a of the end effector 90a and is laterally offset thereto. The further pivot axis 160a is disposed opposing the pivot axis 118a in relation to the primary extension axis 120a. The further pivot axis 160a is essentially parallel to the pivot axis 108a.


The further coupling element 156a is part of the thrust and/or traction piston 122a. The further coupling element 156a is arranged on the anchor 130a of the thrust and/or traction piston 122a. The further coupling element 156a is arranged on the side of the anchor 130a which opposes the side on which the coupling element 138a is arranged. The further coupling element 156a is securely connected to the anchor 130a. The further coupling element 156a is arranged offset to a geometric center point 64a, 66a of the anchor 130a. The further coupling element 156a is arranged offset to the primary extension axis 120a. In the present case, the further coupling element 156a is designed as a cam.


The further corresponding coupling element 158a is part of the further pivot lever 150a. The further corresponding coupling element 158a is arranged on or connected to the further pivot lever base body 152a. The further corresponding coupling element 158a is arranged offset to a geometric center point 64a, 66a of the further pivot lever base body 152a. The further corresponding coupling element 158a is arranged offset to the primary extension axis 120a of the end effector 90a. In the present case, the further corresponding coupling element 158a is embodied as a cam follower, for example in the form of a laterally open recess in the further pivot lever 150a. If the thrust and/or traction piston 122a and the further pivot lever 150a are coupled to one another by means of the further coupling mechanism 154a, the further coupling element 156a and the corresponding coupling element 158a engage in one another and make contact with one another. Alternatively, the embodiments of the further coupling element and the further corresponding coupling element could also be switched with one another; for example, the further coupling element could thus be embodied as a cam follower and the further corresponding complement as a cam.


The movement converter 116a has a further pivot bearing 162a. The further pivot bearing 162a is designed at least for rotatably bearing the further tool piece 94a relative to the end effector head 96a. At least part of the further pivot bearing 162a is formed by the further pivot lever 150a. Furthermore, at least part of the further pivot bearing 162a is formed by the end effector head 96a. The further pivot bearing 162a has at least one further bearing element 164a. The further pivot bearing 162a has at least one further corresponding bearing element 166a. The further corresponding bearing element 166a is embodied corresponding to the further bearing element 164a. The further bearing element 164a and the further corresponding bearing element 166a together define a further rotational axis 168a about which the further tool piece 94a rotates when the further tool piece 94a is actuated. The further rotational axis 168a is arranged at least substantially perpendicular to a primary extension axis 120a of the end effector 90a and is laterally offset thereto. Furthermore, the further rotational axis 168a is arranged substantially parallel to the further pivot axis 160a. With respect to a primary extension axis 120a of the end effector 90a, the further rotational axis 168a opposes the further pivot axis 160a.


The further bearing element 164a is part of the further pivot lever 150a. The further bearing element 164a is arranged on or connected to the further pivot lever base body 152a. The further bearing element 164a is arranged offset to a geometric center point 64a, 66a of the further pivot lever base body 152a. The further bearing element 164a is arranged offset to the primary extension axis 120a of the end effector 90a. The further bearing element 164a is disposed opposing the corresponding further coupling element 156a. In the present case, the further bearing element 164a is designed as a cam.


The further corresponding bearing element 166a is part of the end effector head 96a. The further corresponding bearing element 166a is arranged or connected to the further end effector leg 102a of the end effector fork 98a. The further corresponding bearing element 166a is arranged offset to a geometric center point 64a, 66a of the further end effector leg 102a. The further corresponding bearing element 166a is arranged offset to the primary extension axis 120a of the end effector 90a. In the present case, the further corresponding bearing element 166a is designed as a cam driver, for example in the form of a laterally open recess in the further end effector leg 102a. If the further pivot lever 150a and the end effector head 96a are rotatably borne with one another by means of the further pivot bearing 162a, the further bearing element 164 and the further corresponding coupling element 158a engage in one another and make contact with one another. Alternatively, the embodiments of the further bearing element and of the further corresponding bearing element could also be switched with one another; for example the further bearing element could thus be embodied as a cam follower and the further corresponding bearing element as a cam.


The movement converter 116a has a guide bearing 170a. The guide bearing 170a is designed to guide components of the movement converter 116a. The guide bearing 170a has a slotted guide 172a for guiding the pivot lever 132a. The slotted guide 172a is embodied in the shape of a curved elongated hole. The slotted guide 172a is defined by the pivot lever 132a. The slotted guide 172a extends through a geometric center point 64a, 66a of the pivot lever 132a. The slotted guide 172a is formed by a recess in the pivot lever base body 134a.


The guide bearing 170a has a further slotted guide 174a for guiding the further pivot lever 150a. The further slotted guide 174a is embodied in the shape of a curved elongated hole. At least the further slotted guide 174a is rotated by 180° in comparison to the slotted guide 172a. The further slotted guide 174a is defined by the further pivot lever 150a. The further slotted guide 174a extends through a geometric center point 64a, 66a of the further pivot lever 150a. The further slotted guide 174a is formed by a recess in the further pivot lever base body 152a.


The guide bearing 170a has an additional slotted guide 176a for guiding the thrust and/or traction piston 122a. The additional slotted guide 176a is embodied in the form of a linear elongated hole. The additional slotted guide 176a is defined by the thrust and/or traction piston 122a. The further slotted guide 174a extends through a geometric center point 64a, 66a of the anchor 130a of the thrust and/or traction piston 122a. The additional slotted guide 176a is formed by a recess in the further anchor 130a.


The guide bearing 170a further comprises a guide pin 178a. The guide pin 178a is arranged extending through the slotted guide 172a. In addition, the guide pin 178a is arranged extending through the additional slotted guide 176a. Furthermore, the guide pin 178a is arranged extending through the further slotted guide 174a. The guide pin 178a is connected to the end effector head 96a, specifically, for example, to the end effector fork 98a. The end effector leg 100a of the end effector fork 98a has a pin receiving element 180a. The pin receiving element is embodied for a positive and/or non-positive fit with the guide pin 178a. Furthermore, the further end effector leg 102a of the end effector fork 98a has a further pin receiving element 182a. The further pin receiving element 182a is embodied for a positive and/or non-positive fit with the guide pin 178a. In an assembled state, the guide pin 178a extends through the pin receiving element 180a, the slotted guide 172a, the additional slotted guide 176a, the further slotted guide 174a, and the further pin receiving elements 182a. The guide pin 178a secures the pivot lever, the further pivot lever 150a and the thrust and/or traction piston 122a on the end effector head 96a.



FIGS. 7 through 27 illustrate further exemplary embodiments according to the disclosure. The following descriptions and the drawings are substantially limited to the differences between the exemplary embodiments, referring in particular to FIGS. 1 through 6 with respect to components having the same designation, in particular with respect to components having the same reference symbols, in principle also to the drawings and/or the description of the other exemplary embodiments. All combinations of the exemplary embodiments mentioned here are also to be considered as disclosed. To distinguish between the exemplary embodiments, the letter “a” follows the reference numerals of the exemplary embodiment in FIGS. 1 through 6. In the exemplary embodiments in FIGS. 7 through 27, the letter “a” is replaced by the letters “b” through “j.”



FIG. 7 is a schematic sectional illustration of a further exemplary embodiment of at least one part of an endoscopic device 16b according to the principles of the present disclosure along a shaft 26b of the endoscopic device 16b. The present exemplary embodiment is distinguished from the previous exemplary embodiment essentially in the electrification of the endoscopic device 16b.


The endoscopic device 16b has an actuating unit 106b. The actuating unit 106b has at least one electrical pole conductor 184b. The electrical pole conductor 184b is designed to provide at least one electrical potential for at least one tool piece 92b of an end effector 90b of the endoscopic device 16b. The electrical pole conductor 184b is designed as an inner conductor. The electrical pole conductor 184b is formed by an inner cable 112b of the actuating unit 106b. It is possible for the electrical pole conductor to be designed to provide the same electrical potential for the tool piece and the further tool piece.


The actuating unit 106b has at least one further electrical pole conductor 186b. The further electrical pole conductor 186b is designed to provide at least one further electrical potential for a further tool piece 94b of the end effector 90b of the endoscopic device 16b. The electrical pole conductor 184b has a primary extension. Furthermore, the further electrical pole conductor 186b has a further primary extension. The primary extension of the electrical pole conductor 184b is greater than a further primary extension of the further electrical pole conductor 186b. The further electrical pole conductor 186b is embodied separate from the electrical pole conductor 184b. The further electrical pole conductor 186b is designed to provide at least one further electrical potential. The further electrical pole conductor 186b coaxially surrounds the electrical pole conductor 184b. The further electrical pole conductor 186b is designed as an outer conductor. The further electrical pole conductor 186b is embodied in a tube-like manner. At least part of the further electrical pole conductor 186b is embodied by a mesh. The actuating unit 106b has an outer cable 188b. The outer cable 188b is arranged surrounding the inner cable 112b. The outer cable 188b embodies the further electrical pole conductor 186b.



FIG. 8 is a schematic sectional illustration of at least one part of the endoscopic device 16b transverse to the shaft 16b. The actuating unit 106b has at least one electrical insulator 190b. At least part of the electrical insulator 190b is embodied by an insulating material. The insulating material has a CTI value of at least 150. In the present case, the insulating material even has a CTI value greater than 600. The insulating material can be PEEK, for example. In the present case, the insulating material is a tetrafluoroethylene-hexafluoropropylene copolymer (FEP) or a perfluoroalkoxy polymer (PFA). The plastic can be flexible and/or elastic. The electrical insulator 190b coaxially surrounds the electrical pole conductor 184b. The electrical insulator 190b is arranged between the electrical pole conductor 184b and the further electrical pole conductor 186b. The actuating unit 106b has at least one further electrical insulator 192b. The further electrical insulator 192b coaxially surrounds the further electrical pole conductor 186b.


The endoscopic device 16b has a movement converter 116b (see FIG. 7). The movement converter 116b is designed to mechanically couple the end effector 90b and the actuating unit 106b. In the present exemplary embodiment, the movement converter 116b is additionally designed to electrically couple the end effector 90b and the actuating unit 106b. The movement converter 116b connects at least the electrical pole conductor 184b to the tool piece 92b. In the present case, the movement converter 116b electrically connects the electrical pole conductor 184b to the tool piece 92b. Furthermore, the movement converter 116b electrically connects the further electrical pole conductor 186b to the further tool piece 94b.


In the present case, a mechanical force path of the movement converter 116b, via which force is transmitted from the actuating unit 106b to the tool piece 92b, and an electrical conductive path of the movement converter 116b, via which electrical potential is transmitted to the tool piece 92b, are identical. Furthermore, in the present case, a mechanical force path of the movement converter 116b, via which a force is transmitted from the actuating unit 106b to the further tool piece 94b, and an electrical path of the movement converter 116b, via which the further electrical potential is transmitted to the further tool piece 94b, are identical.


The movement converter 116b is embodied electrically conductive in part. For this purpose, the movement converter 116b comprises metal, at least in part. The movement converter 116b is partially embodied from a further insulating material. The further insulating material has a CTI value of at least 150. In the present case, the further insulating material even has a CTI value greater than 600. The further insulating material can be PEEK, for example. In the present case, the further insulating material is a cycloolefin copolymer (COC) and/or polymethylpentene. Only components of the movement converter 116b which are designed to transmit movement from the actuating unit 106b to the tool piece 92b are at least partially free of an insulating material for transmitting the electrical potential. Only components of the movement converter 116b which are designed to transmit movement from the actuating unit 106b to the further tool piece 94b are at least partially free of an insulating material for transmitting the further electrical potential.


For an electrical connection, a thrust and/or traction piston 122b of the movement converter 116b has at least one electrical pole conductor extension 194a. The electrical pole conductor extension 194b is electrically connected to the electrical pole conductor 184b of the actuating unit 106b. Furthermore, the electrical pole conductor extension 194b is mechanically connected to the electrical pole conductor 184b of the actuating unit 106b.


Part of the electrical pole conductor extension 194b extends through an anchor 130b of the thrust and/or traction piston 122b. In the region of the anchor 130b, the electrical pole conductor extension 194b is electrically and/or mechanically connected to a further component of the movement converter 116b. Furthermore, at least part of the electrical pole conductor extension 194b extends through a pin 124b of the thrust and/or traction piston 122b. In the region of the pin 124b, the electrical pole conductor extension 194b is electrically connected to the electrical pole conductor 184b.


The electrical pole conductor extension 194b has an electronic pole conductor extension base body 202. The electrical pole conductor extension 194b has a pole conductor sleeve 198b. The electrical pole conductor extension 194b is enclosed in the pole conductor sleeve 198b. The pole conductor sleeve 198b is arranged in the region of the pin 124b of the thrust and/or traction piston 122b. The pole conductor sleeve 198b is securely connected to a pole conductor extension base body 202b of the electrical pole conductor extension 194b. In the present case, the pole conductor sleeve 198b is welded to the pole conductor extension base body 202b.


The electrical pole conductor extension 194b is embodied at least in part as a flat strip. The pole conductor extension base body 202b is embodied as a flat strip. At least part of the electrical pole conductor extension 194b is embodied from metal. The pole conductor extension base body 202b can be metal sheet, for example.


The electrical pole conductor extension 194b is hook-shaped in a side view. The electrical pole conductor extension 194b surrounds, at least in part, an additional slotted guide 176b of the thrust and/or traction piston 122b. The electrical pole conductor extension 194b is embodied, at least in part, as a sheet metal component, in particular a laser cutting sheet metal component. The pole conductor extension base body 202b is a sheet metal component, in particular a laser cutting sheet metal component. Alternatively, the electronic pole conductor extension could be an at least partially generatively manufactured component. For example, the electrical pole conductor extension could be produced by means of a laser melting and/or laser sintering process.


Furthermore, the thrust and/or traction piston 122b has at least the further insulating material. The electrical pole conductor extension 194b is covered, at least in part, with the further insulating material. In the present case, the electrical pole conductor extension 194b is even covered with the further insulating material, at least to a large extent. In the present case, the further insulating material sheathes the electrical pole conductor extension 194b. The electronic pole conductor extension 194b covered with the further insulating material forms, at least in part, the thrust and/or traction piston 122b.


For a further electrical connection, the thrust and/or traction piston 122b of the movement converter 116b has at least one further electrical pole conductor extension 196b. The further electrical pole conductor extension 196b is electrically connected to the further electrical pole conductor 186b of the actuating unit 106b. Furthermore, the further electrical pole conductor extension 196b is mechanically connected to the further electrical pole conductor 186b of the actuating unit 106b.


At least part of the further electrical pole conductor extension 196b extends through the anchor 130b of the thrust and/or traction piston 122b. In the region of the anchor 130b, the further electrical pole conductor extension 196b is electrically and/or mechanically connected to a further component of the movement converter 116b. Furthermore, at least part of the further electrical pole conductor extension 196b extends through the pin 124b of the thrust and/or traction piston 122b. In the region of the pin 122b, the further electrical pole conductor extension 196b is electrically connected to the further electrical pole conductor 186b.


The further electrical pole conductor extension 196b has a further pole conductor extension base body 204b. The further electrical pole conductor extension 196b has a further pole conductor sleeve 198b. The further electrical pole conductor 186b is enclosed in the further pole conductor sleeve 200b. The further pole conductor sleeve 200b is arranged in the region of the pin 124b of the thrust and/or traction piston 122b. The further pole conductor sleeve 200b is securely connected to a further pole conductor extension base body 204b of the further electrical pole conductor extension 196b. In the present case, the further pole conductor sleeve 200b is welded to the further pole conductor extension base body 204b.


At least part of the further electrical pole conductor extension 196b is embodied as a flat strip. The further pole conductor extension base body 204b is embodied as a flat strip. The further electrical pole conductor extension 196b is embodied, at least in part, from metal. The additional pole conductor extension base body 204b can be, for example, a metal sheet.


At least part of the further electrical pole conductor extension 196b is embodied as a sheet metal component, in particular a laser cutting sheet metal component. The further pole conductor extension base body 204b is a sheet metal component, in particular a laser cutting sheet metal component. Alternatively, the further electrical pole conductor extension could be an at least partially generatively manufactured component. For example, the further electrical pole conductor extension could be produced by means of a laser melting and/or laser sintering process.


Furthermore, the thrust and/or traction piston 122b has at least one further insulating material. In the present case, it is the aforementioned further insulating material. The further electrical pole conductor extension 196b is covered, at least in part, with the further insulating material. In the present case, the further electrical pole conductor extension 196b is even covered with the further insulating material, at least to a large extent. In the present case, the further insulating material sheathes the further electrical pole conductor extension 196b. The further electrical pole conductor extension 196b covered with the further insulating material is embodied, at least in part, by the thrust and/or traction piston 122b.


In a side view, the further electrical pole conductor extension 196b is embodied corresponding to the electrical pole conductor extension 194b. The further electrical pole conductor extension 196b extends at least substantially parallel to the electrical pole conductor extension 194b. The electrical pole conductor extension 194b and the further electrical pole conductor extension 196b are arranged in the same plane. The plane can be a plane of symmetry of the thrust and/or traction piston 122b. The electrical pole conductor extension 194b surrounds, at least in part, the further electrical pole conductor extension 196b.


In the present case, the further insulating material sheathes the electrical pole conductor extension 194b and the further electrical pole conductor extension 196b. The electrical pole conductor extension 194b and the further electrical pole conductor extension 196b are electrically insulated from one another by the further insulating material. The further insulating material, the electrical pole conductor extension 194b, and the further pole conductor extension 196b form the thrust and/or traction piston 122b, at least to a large extent.


The movement converter 116b has at least one pivot lever 132b. The pivot lever 132b is electrically connected to the thrust and/or traction piston 122b. The pivot lever 132b is electrically connected to the electrical pole conductor extension 194b. The pivot lever 132b has a pivot lever base body 134b. At least part of the pivot lever base body 134b is embodied from metal. The pivot lever base body 134b is electrically connected to the tool piece 92b. The pivot lever 132b has at least one further insulating material. In the present case, it is the aforementioned further insulating material. At least part of the pivot lever base body 134b is covered by the further insulating material. In the present case, the pivot lever base body 134b is covered with the further insulating material, at least to a large extent.


The movement converter 116b comprises at least one coupling mechanism 136b. The coupling mechanism 136b has at least one coupling element 138b. The coupling element 138b is part of the thrust and/or traction piston 122b. The coupling element 138b is embodied electrically conductive. At least part of the coupling element 138b is embodied from metal. The coupling element 138b is free, at least in part, of the further insulating material which surrounds the thrust and/or traction piston 122b. Furthermore, the coupling element 138b is mechanically operatively connected to the electrical pole conductor extension 194b. The coupling element 138b is electrically operatively connected to the electrical pole conductor extension 194b. For example, the coupling element 138b can be welded to the electrical pole conductor extension 194b.


The coupling mechanism 136b has at least one corresponding coupling element 140b. The corresponding coupling element 140b is part of a pivot lever 132b of the movement converter 116b. The corresponding coupling element 140b is connected to a pivot lever base body 134b of the pivot lever 132b. The corresponding coupling element 140b is free, at least in part, of the further insulating material. The coupling element 138b and the corresponding coupling element 140b are electrically operatively connected to one another. The surfaces of the coupling element and the corresponding coupling element 140b which are positioned against one another and which are advantageously free of the further insulating material form an electrical sliding contact.


The movement converter 116b has at least one further pivot lever 150b (see FIG. 9). The further pivot lever 150b is electrically connected to the thrust and/or traction piston 122b. The further pivot lever 150b is electrically connected to the further electrical pole conductor extension 196b. The further pivot lever 150b has a further pivot lever base body 152b. The further pivot lever base body 152b is embodied, at least in part, from metal. The further pivot lever base body 152b is electrically connected to the tool piece 92b. The further pivot lever 150b has at least one further insulating material. In the present case, this is the aforementioned further insulating material. At least part of the further pivot lever base body 152b is covered by the further insulating material. In the present case, the further pivot lever base body 152b is covered with the further insulating material, at least to a large extent.


The coupling mechanism 136b has at least one further coupling element 156b. The further coupling element 156b is part of the thrust and/or traction piston 122b. The further coupling element 156b is embodied electrically conductive. At least part of the further coupling element 156b is embodied from metal. The further coupling element 156b of the thrust and/or traction piston 122b is free, at least in part, of the further insulating material. The further coupling element 156b is electrically operatively connected to the further electrical pole conductor extension 196b. Furthermore, the further coupling element 156b is mechanically operatively connected to the further electrical pole conductor extension 196b. For example, the further coupling element 156b is welded to the further electrical pole conductor extension 196b.


The coupling mechanism 136b has at least one further corresponding coupling element 158b. The corresponding coupling element 158b is part of the further pivot lever 150b. The further corresponding coupling element 158b is connected to a further pivot lever base body 152b of the further pivot lever 150b. The further corresponding coupling element 158b is free, at least in part, of the further insulating material. The further coupling element 156b and the further corresponding coupling element 158b are electrically operatively connected to one another. Surfaces of the further coupling element 156b and the further corresponding coupling element 158b which are positioned against one another and which are advantageously free of the further insulating material form an electrical sliding contact.


Furthermore, the end effector 90b has an end effector head 96b. At least part of the end effector head 96b is embodied from a further insulating material, for example the aforementioned further insulating material. The end effector head 96b has an end effector base body 206b. In the present case, the end effector base body 206b is embodied, at least in part, from a metal. The end effector base body 206b is covered with the further insulating material, at least to a large extent. In the present case, the end effector base body 206b is completely covered with the further insulating material.


Components of the endoscopic device 16b covered with the further insulating material are covered therewith in a seamless manner. For this purpose, the basic bodies of these components, such as, for example, the end effector head, the end effector fork, the thrust and/or traction piston, the pivoting lever, the further pivoting lever, and the like, are coated with the further insulating material. The further insulating material is positioned flush against further components, such as the tool piece, so that it is advantageously possible to prevent seams in which contaminants could accumulate.



FIG. 10 is a schematic sectional illustration of at least a part of an alternative endoscopic device 16c along a shaft 26c of the endoscopic device 16c according to the principles of the present disclosure in a sectional view along a shaft 26c of the endoscopic device 16c in a linear configuration. Furthermore, FIG. 11 is a schematic sectional illustration of at least a part of the endoscopic device 16c along the shaft 26c of the endoscopic device 16c in a deflection configuration. The present exemplary embodiment of the endoscopic device 16c is distinguished from the preceding exemplary embodiment essentially by a deflection mechanism 46c of the endoscopic device 16c.


The deflection mechanism 46c has at least one first connecting link 48c. In the present case, the deflection mechanism 46c has a plurality of first connecting links. Furthermore, the deflection mechanism 46c has at least one second connecting link 50c. In the present case, the deflection mechanism 46c has a plurality of second connecting links.


In FIG. 10, the deflection mechanism 46c is shown in a linear configuration. The first connecting link 48c and the second connecting link 50c are arranged in a linear configuration relative to one another. In the linear configuration, a first rotational symmetry axis 52c of the first connecting link 48c and a second rotational symmetry axis 54c of the second connecting link 50c are oriented at least substantially parallel to one another.


The first connecting link 48c has a first geometric center point 64c. Furthermore, the second connecting link 50c has a second geometric center point 66c. In the linear configuration, the first geometric center point 64c and the second geometric center point 66c are arranged offset to one another.


If the first connecting link 48c and the second connecting link 50c are arranged in the linear configuration, there is a linear configuration distance 68c between the first connecting link 48c and the second connecting link 50c. In the linear configuration, the linear configuration distance 68c is defined by a shortest connection between the first geometric center point 64c and the second geometric center point 66c.



FIG. 11 illustrates the deflection mechanism 46c in a deflection configuration. The first connecting link 48c and the second connecting link 50c are arranged in a deflection configuration relative to one another. In the deflection configuration, the first rotational symmetry axis 52c of the first connecting link 48c and the second rotational symmetry axis 54c of the second connecting link 50c are arranged at an angle to one another. In the deflection configuration, an angle between the first rotational symmetry axis 52c and the second rotational symmetry axis 54c is at least 10° relative to one another. In the deflection configuration, the first geometric center point 64c and the second geometric center point 66c are arranged offset to one another. If the first connecting link 48c and the second connecting link 50c are arranged in the deflection configuration, there is a deflection distance 70c between the first connecting link 48c and the second connecting link 50c. In the deflection configuration, the deflection distance 70c is defined by a shortest connection between the first geometric center point 64c and the second geometric center point 66c. The deflection configuration distance 70c is greater than the linear configuration distance 68c.


When the first connecting element 48c and the second connecting element 50c are deflected relative to one another, as can occur, for example, when the connecting elements are moved from the linear configuration to the deflection configuration, they are designed such that their geometric center points 64c, 66c per degree of deflection from the linear configuration increase by at least 0.3 μm. In the deflection configuration there is an extension of the deflection mechanism 46c in comparison to the linear configuration. If the connecting links 48c, 50c are under prestress, such as, for example, by a control element of the endoscopic device 16c, the prestress increases in the deflection configuration in comparison to a prestress which acts on the connecting links in the linear configuration. A restoring effect can be achieved, whereby the connecting links return automatically to a linear configuration.


In the present case, the deflection mechanism 46c has three first connecting links 48c. Furthermore, the deflection mechanism 46c has four second connecting links 50c. The arrangement of the plurality of first connecting links and the plurality of second connecting links thus results in a total of six cooperating combinations of a first connecting link and a second connecting link.


The first connecting link 48c has at least one outer contour 72c. The outer contour 72c faces outwards. The outer contour 72c is not embodied concave. In the present case, the outer contour 72c is convex. The outer contour 72c describes a circular arc 76c. The outer contour 72c has, at least in segments, a shape of a circular involute. As an alternative or in addition, the outer contour could be embodied, at least in segments, corresponding to a shape of a circular arc, a cycloid, a paraboloid, and/or an ellipsoid.


There is a diameter 74c of a smallest imaginary circular arc 76c that still completely encloses the outer contour 72c of the first connecting link 48c. This diameter 74c is greater than a maximum connecting link width 208c of the first connecting link 48c. The connecting link width 208c is measured at least substantially perpendicular to the longitudinal direction 38c of a shaft 26c of the endoscopic device 16c.


The second connecting link 50c has at least one inner contour 78c. The inner contour 78c faces inwards. The inner contour 78c is not embodied concave. Furthermore, the inner contour 78c is linear in the present case. The inner contour 78c is embodied different from an arc 76c, at least in segments. Alternatively or in addition, the inner contour could be embodied, at least in sections, corresponding to a shape of a circular arc, a circular involute, a cycloid, a paraboloid, and/or an ellipsoid.


The outer contour 72c and the inner contour 78c are disposed opposing one another. The inner contour 78c of the second connecting link 50c is designed to cooperate with the outer contour 72c of the first connecting link 48c and vice versa. The outer contour 72c and the inner contour 78c are positioned against one another at most in segments.



FIG. 12 is a perspective schematic elevation of at least part of a further exemplary embodiment of a further endoscopic device 16d in an assembled state according to the principles of the present disclosure. Furthermore, FIGS. 13 and 14 illustrate further assembly states of the endoscopic device 16d. The present exemplary embodiment of the endoscopic device 16d differs from that in the forgoing essentially through a deflection mechanism 46d of the endoscopic device 16d.


The deflection mechanism 46d has at least one control element 80d. The control element 80d is connected to an end segment 28d of the shaft 26d. A part of the control element 80d is arranged in the region of the end segment 28d of the shaft 26d, embodying a loop 84d. The loop 84d has a loop radius 212d. The loop radius 212d is greater than a diameter 74d of the control element 80d. The loop radius 212d is at least twice the diameter 74d of the control element 80d.


The end segment 28d of the shaft 26d has at least one loop guide 210d. At least part of the control element 80d is arranged in the loop guide 210d. A segment of the control element 80d embodying loop 84d is arranged in the loop guide 210d. In a side view, the loop guide 210d has a keyhole-like contour. In front of the loop 84d, a loop guide 210d guides the control element 80d towards the end segment 28d of the shaft 26d. After the loop 84d, the loop guide 210d again guides the control element 80d towards the end segment 28d of the shaft 26d.


The loop guide 210d guides the control element 80d, at least in segments, substantially parallel to a primary extension axis 120d of the shaft 26d. There is a tiny distance between a segment guided to the loop 84d and a segment of the control element 80d guided back from the loop 84d. This tiny distance is smaller than a doubled loop radius 212d of the loop 84d or loop guide 210d.


The loop guide 210d has a circumferential extension angle 214d. The circumferential extension angle 214d is an angle which describes the radial angle component of the loop 84d. The circumferential extension angle 214d is greater than 180°. In the present case, the circumferential extension angle 214d is at least 210°. Furthermore, the circumferential extension angle 214d is an angle of less than 360°. In the present case, the circumferential extension angle 214d is at most 340°.


The loop guide 210d is open radially outward for radially inserting the control element 80d therein. Alternatively, the loop guide could be open inward. It is also possible for the loop guide to be covered radially outward by means of a cover. For this purpose, it could be possible to couple a cover to an end segment of a shaft. The cover covers, at least in part, an end segment 28d of the shaft 26d can be coupled in order to radially close the loop guide 210d from the outside.


Furthermore, the end segment 28d has a plurality of loop guides 210d which are arranged offset to one another along the circumference of the shaft 26d. Of the plurality of loop guides, for the sake of clarity only the loop guide 210d is provided with a reference symbol. A plurality of control elements are arranged in the plurality of loop guides. One control element 80d each is arranged in one of the plurality of loop guides.



FIG. 13 is a schematic perspective elevation of at least a part of an additional endoscopic device 16e in an assembled state according to the principles of the present disclosure. FIG. 14 is a schematic perspective elevation of the part of the endoscopic device 16e in an additional assembly state. Furthermore, FIG. 25 is a schematic perspective elevation of at least the part of the further endoscopic device 16e in an assembled state. The present exemplary embodiment of the further endoscopic device 16e is distinguished from those in the foregoing essentially by a deflection mechanism 46e of the endoscopic device 16e.


The deflection mechanism 46e has at least one first connecting link 48e. Furthermore, the deflection mechanism 46e has at least one second connecting link 50e.


The second connecting link 50e has at least one through-guide 82e. Furthermore, the second connecting link 50e has at least one radial opening 216e. The radial opening 216e is connected to the through-guide 82e. A control element 80e can be inserted into the through-guide 82e via the radial opening 216e.


The second connecting link 50e has at least one connecting link base body 218e. The connecting link base body 218e has the radial opening 216e. Furthermore, the connecting link base body 218e has the through-guide 82e. The connecting link base body 218e has a connecting recess 220e. The connecting recess 220e runs radially, at least in segments. In the present case, the connecting recess 220e runs entirely radially. The connecting recess 220e of the connecting link base body 218e connects the through-guide 82e and the radial opening 216e to one another.


The second connecting link 50e has at least one closure body 222e. The closure body 222e is designed to close the radial opening 216e, at least in an inserted state of the control element 80e. In the present case, the closure body 222e is embodied as a clamping ring. The closure body 222e can be connected to the connecting link base body 218e. In the present case, the closure body 222e can be connected to the connecting link base body 218e in a non-positive and/or positive fit. Furthermore, the closure body 222e is connected to the connecting link base body 218e in a bonded fit or can be welded thereto.



FIG. 16 is a schematic plan view of at least a part of an alternative endoscopic device 16f according to the principles of the present disclosure. The present exemplary embodiment of the endoscopic device 16f is distinguished from that in the foregoing essentially in the embodiment of a deflection mechanism 46f of the endoscopic device 16f.


A second connecting link 50f of the deflection mechanism 46f has at least one connecting link base body 218f. The connecting link base body 218f has at least one through-opening 82f. Furthermore, the connecting link base body 218f has at least one radial opening 216f. Furthermore, the connecting link base body 218f has a connecting recess 220f. The connecting recess 220f connects the radial opening 216f to the through-guide 82f.


In the present case, the connecting recess 220f runs radially in segments. The connecting recess 220f describes a curved path. In the present case, the radially running recess describes a hook-shaped curved path. The connecting recess 220f has the shape of a curved path. The curved path has a curved path angle greater than 90°. In the present case, the curved path has a curved path angle greater than 150°. Furthermore, the curved path angle is a maximum of 180°. Advantageously, a closure body according to the previous embodiment is not required here.



FIG. 17 is a schematic perspective elevation of at least a part of an alternative endoscopic device 16g according to the principles of the present disclosure. The present exemplary embodiment is distinguished from those in the foregoing essentially by an embodiment of a deflection mechanism 46g of the endoscopic device 16g.


A second connecting link 50g of the deflection mechanism 46g has at least one connecting link base body 218g. The connecting link base body 218g has at least one through-guide 82g. Furthermore, the connecting link base body 218g has at least one radial opening 216g. Furthermore, the connecting link base body 218g has a connecting recess 220g. The connecting recess 220g connects the radial opening 216g to the guide hole.


In the present case, the radial opening 216g runs at an angle to a rotational symmetry axis of the second connecting link. Furthermore, the radial opening 216g can have a curve-like course. For example, a continuous course in such a course can roughly correspond to a cosine wave.



FIG. 18 is a schematic perspective elevation of at least a part of an alternative endoscopic device 16h in an assembly state according to the principles of the present disclosure. FIG. 19 is a schematic perspective elevation of the part of the endoscopic device 16h in an assembled state. Furthermore, FIG. 20 is a schematic perspective elevation of the part of the endoscopic device 16h in an assembly state. In addition, FIG. 21 is a schematic perspective elevation of the part of the endoscopic device 16h in a further assembly state. FIG. 22 is a schematic perspective elevation of at least the part of the endoscopic device 16h in an assembled state. The present exemplary embodiment of the endoscopic device 16h is distinguished from those in the foregoing essentially by an embodiment of a deflection mechanism 46h of the endoscopic device 16h.


The deflection mechanism 46h has a second connecting link 50h. The connecting link 50h comprises at least one connecting link base body 218h. The connecting link base body 218h has at least one through-guide 82h. Furthermore, the connecting link base body 218h has a radial opening 216h. Furthermore, the connecting link base body 218 comprises a connecting recess 220h. The connecting recess 220h connects the radial opening 216h to the through-guide 82h.


A second connecting link has at least one further connecting link base body 224h. The further connecting link base body 224h has at least one further through-guide 226h. In the present case, the connecting link base body 218h and the further connecting link base body 224h are at least embodied substantially identical to one another. Furthermore, the further connecting link base body 224h has a further radial opening 228h. Furthermore, the further connecting link base body 224h comprises a further connecting recess 230h. The further connecting recess 230h connects the further radial opening 228h to the further through-guide 226h.


The connecting link base body 218h and the further connecting link base body 224h can be coupled to one another. The connecting link base body 218h and the further connecting link base body 224h can be connected to one another in a non-positive and/or positive fit. In a configuration in which a radial opening 216h of the connecting link base body 218h and the further radial opening 228h of the further connecting link base body 224h are congruent with one another, the connecting link base body 218h and the further connecting link base body 224h are separated from one another.


In a further configuration in which the through-guide 82h of the connecting link base body 218h and the further through-guide 226h of the further connecting link base body 224h are congruent with one another, the connecting link base body 218h and the further connecting link base body 224h can be connected to one another. In an assembled state, a control element 80e of the deflection mechanism 46h holds the connecting link base body 218h and the further connecting link base body 224h under prestress, so that they are pressed together. Alternatively or in addition, it could be possible to connect the connecting link base bodies by means of a quick connector 248h, such as, for example, a bayonet lock, a screw lock, or the like.



FIG. 23 is a schematic side view of at least a part of an alternative endoscopic device 16i in a linear configuration according to the principles of the present disclosure. Furthermore, FIG. 24 is a schematic sectional illustration of the part of the endoscopic device 16i from FIG. 23 along a shaft 26i of the endoscopic device 16i in the linear configuration. FIG. 25 is a schematic side view of the part of the endoscopic device 16i in a deflection configuration. FIG. 26 is a schematic sectional depiction of the part of the endoscopic device 16i along the shaft 26i of the endoscopic device 16i in the deflection configuration. The present exemplary embodiment of the endoscopic device 16i is distinguished from those in the foregoing essentially by a deflection mechanism 46i of the endoscopic device 16i.


The deflection mechanism 46i has at least one first connecting link 48i. In the present case, the deflection mechanism 46i has a plurality of first connecting links. Furthermore, the deflection mechanism 46i has at least one second connecting link 50i. In the present case, the deflection mechanism 46i has a plurality of second connecting links.


At least part of the first connecting link 48i is embodied from a first material 232i. The first material 232i is assigned to the substance group of plastics. In the present case, the first material 232i is an elastomer. The first material 232i has a first elasticity.


At least part of the second connecting link 50i is embodied from a second material 234i. The second material 234i is assigned to the substance group of plastics. The second material 234i is a thermoplastic. Alternatively, the second material could also be a metal, a ceramic, or the like.


The second material 234i has a second elasticity. The second elasticity of the second material 234i differs from the first elasticity of the first material 232i. In the present case, an elasticity of the first material 232i is greater than an elasticity of the second material 234i.


At least part of the second connecting link 50i is arranged coaxially surrounding the first connecting link 48i. The first connecting link 48i is embodied in a tube-like manner. The second connecting link 50i is embodied in an annular shape.


The first connecting link 48i and the second connecting link 50i are connected to one another at least in a positive fit. The first connecting link 48i and the second connecting link 50i engage in one another, at least in part, in an engagement region 236i. The first connecting link 48i has a first profile element 238i for connecting it to the second connecting link 50i. In the present case, the profile element 238i has the shape of an undulation. The second connecting link 50i has a second profile element 240i for connecting to the first connecting link 48i. The second profile element 240i is embodied corresponding to the first profile 238i. For an at least positive fit connection of the first connecting link 48i and the second connecting link 50i, the first profile element 238i and the second profile element 240i engage in one another and embody the engagement region 236i.


Furthermore, the first connecting link 48i and the second connecting link 50i are at least connected to one another in a bonded fit. For example, the first connecting link 48i and the second connecting link 50i could be glued together. In the present case, however, the first connecting link 48i and the second connecting link 50i are overmolded with one another. In this way, at least the first connecting link 48i and the second connecting link 50i embody, at least in part, a multi-component injection molding assembly 242i of the endoscopic device 16i.


In the present case, the plurality of first connecting links are embodied in one piece with one another. The plurality of first connecting links together form a tube. The main extension of the tube corresponds at least essentially to a main extension of a deflection mechanism 46i of the endoscopic device 16i. The plurality of second connecting links are then each offset to one another about the tube. Together, the plurality of first connecting links and the plurality of second connecting links thus embody the multi-component injection molding assembly 242i.



FIG. 27 is a schematic perspective elevation of at least part of a further endoscopic device 16j according to the principles of the present disclosure. The present exemplary embodiment of the endoscopic device 16j is distinguished from those in the foregoing essentially by a modular structure of the endoscopic device 16j.


The endoscopic device 16j has at least one end effector module 244j. The end effector module 244j comprises at least one end effector 90j. Furthermore, the end effector module 244j has an actuating unit 106j. In addition, the end effector module 244j has a movement converter 116j. The end effector module 244j is embodied as a reusable module. For example, the end effector module 244j is designed so that it is autoclavable so that it can be cleaned after an intervention and thus used multiple times. Alternatively, the end effector module could be designed as a single-use module. For example, the end effector module could be designed not for an autoclaving process. It would be possible for the single-use module to have an intentional defect when re-use is attempted, which defect prevents functioning or detects and indicates re-use.


The endoscopic device 16j further comprises at least one shaft module 246j. The shaft module 246j has at least the shaft 26j. Furthermore, the shaft module 246j has a deflection mechanism 46j. The shaft module 246j is embodied as a single-use module. For example, the shaft module 246j could be designed not for an autoclaving process. It would be possible for the single-use module to have an intentional defect when re-use is attempted, which defect prevents functioning or detects and indicates re-use. Alternatively, the shaft module could be designed as a reusable module. For example, the shaft module is designed so that it is autoclavable so that it can be cleaned after an intervention and thus used several times. Furthermore, the shaft module 246j can have all components of the endoscopic device 16j which are not already allocated to the end effector module 244j.


The end effector module 244j and the shaft module 246j can be exchangeably connected to one another. The endoscopic device 16j comprises at least one quick connector 248j. In the present case, the quick connector 248j is embodied as a screw connector. Alternatively, the quick connector could also be a snap-on connection, clamp connection, bayonet connection, or the like.


The quick connector 248j has a quick connector piece 250j. Furthermore, the quick connector 248j has a quick connector piece 252j corresponding to the quick connector piece 250j. In the present case, the quick connector piece 250j is a threaded piece. The quick connector piece 250j has a female thread. In the present case, the corresponding quick connector piece 252j is a corresponding threaded piece. The corresponding quick connector piece 252j has a male thread.


At least part of the quick connector 248j is connected by the end effector 90j in one piece. An end effector head 96j of the end effector 90j is embodied in one piece with the quick connector 248j. In the present case, the end segment 28j of the shaft 26j has the corresponding quick connector piece 252j. Furthermore, the quick connector 248j is at least partially embodied from an end effector head 96j of the end effector 90j. In the present case, the end effector head 96j has the corresponding quick connector piece 252j.


In order to achieve exchangeability and thus greater versatility, the endoscopic device 16j has at least one or a plurality of further end effector modules. Furthermore, the endoscopic device 16j can have at least one or a plurality of further shaft modules 246j.

















10
Surgical system
66
Second geometric center





point


12
Surgical robot
68
Linear configuration





distance


14
Control device
70
Deflection configuration





distance


16
Endoscopic device
72
Outer contour


18
Robot arm
74
Diameter


20
Endoscopic instrument
76
Circular arc


22
Endoscope
78
Inner contour


26
Shaft
80
Control element


28
End segment
82
Through-guide


30
Further end segment
84
Loop


32
Center segment
86
Element receptacle


34
Basic structure
88
Through-guide


36
Shaft jacket
90
End effector


38
Longitudinal direction
92
Tool piece


40
Longitudinal extension
94
Further tool piece


42
Deflectable segment
96
End effector head


44
Plane
98
End effector fork


46
Deflection mechanism
100
End effector leg


48
First connecting link
102
Further end effector leg


50
Second connecting link
104
End effector socket


52
First rotational symmetry
106
Actuating unit



axis


54
Second rotational symmetry
108
Flexible segment


56
Collar
110
Inflexible segment


58
Further collar
112
Inner cable


60
Ball head
114
Reinforcement


62
Ball socket
116
Movement converter


64
First geometric center point
118
Pivot axis


120
Primary extension axis
174
Further slotted guide


122
Thrust and/or traction
176
Further slotted guide



piston


124
Pin
178
Guide pin


126
Piston guide
180
Pin receiving element


128
Actuating unit receptacle
182
Further pin receiving





element


130
Anchor
184
Electrical pole conductor


132
Pivot lever
186
Further electrical pole





conductor


134
Pivot lever base body
188
Outer cable


136
Coupling mechanism
190
Electrical insulator


138
Coupling element
192
Further electrical insulator


140
Corresponding coupling
194
Electrical pole conductor



element

extension


142
Pivot bearing
196
Further electrical pole





conductor extension


144
Bearing element
198
Pole conductor sleeve


146
Corresponding bearing
200
Further pole conductor



element

sleeve


148
Rotational axis
202
Pole conductor extension





base body


150
Further pivot lever
204
Further pole conductor





extension base body


152
Further pivot lever
206
End effector base body



base body


154
Further coupling mechanism
208
Connecting link width


156
Further coupling element
210
Loop guide


158
Further corresponding
212
Loop radius



coupling element

Circumferential extension




214
angle


160
Further pivot axis
216
Radial opening


162
Further pivot bearing
218
Connecting link base body


164
Further bearing element
220
Connecting recess


166
Further corresponding
222
Closure body



bearing element


168
Further rotational axis
224
Further connecting link





base body


170
Guide bearing
226
Further passage guidance


172
Slotted guide
228
Further radial opening


230
Further connecting recess
244
End effector


232
First material
246
Shaft module


234
Second material
248
Quick connector


236
Engagement region
250
Quick connector





piece


238
First profile element
252
Corresponding





quick connector


240
Second profile element


242
Multi-component injection



molding








Claims
  • 1. Endoscopic device with a shaft, with an end effector which is arranged at one end segment of the shaft and which comprises at least one tool piece, with one actuating unit which is designed for actuating the end effector and at least part of which extends through the shaft and which has at least one electrical pole conductor for providing at least one electrical potential, and with at least one movement converter which couples the end effector and the actuating unit to one another, at least mechanically, characterized in that the movement converter is embodied electrically conductive in part and electrically connects at least the one electrical pole conductor to the tool piece.
  • 2. Endoscopic device according to claim 1, characterized in that at least one mechanical force path of the movement converter, via which force path force is transmitted from the actuating unit to the tool piece, and at least one electrically conductive path of the movement converter, via which conductive path the electrical potential is transmitted to the tool piece, are at least substantially identical.
  • 3. Endoscopic device according to claim 1, characterized in that the movement converter is at least partially embodied from an insulating material, wherein components of the movement converter which are used to transmit movement from the actuating unit to the tool piece are designed free of the insulating material, at least in part, for transmitting the electrical potential.
  • 4. Endoscopic device according to claim 1, characterized in that for transmitting force the movement converter has at least one thrust and/or traction piston which is connected to the actuating unit and which comprises at least one electrical pole conductor extension which is covered, at least in part, with an insulating material and which is electrically and/or mechanically connected to the electrical pole conductor of the actuating unit.
  • 5. Endoscopic device according to claim 4, characterized in that the electrical pole conductor extension is embodied as a substantially flat strip.
  • 6. Endoscopic device according to claim 4, characterized in that in a side view the electrical pole conductor extension is at least substantially hook-shaped.
  • 7. Endoscopic device according to claim 4, characterized in that the electrical pole conductor extension is embodied, at least in part, as a sheet metal component, in particular a laser cutting sheet metal component.
  • 8. Endoscopic device according to claim 4, characterized in that the thrust and/or traction piston has at least one coupling element which is free, at least in part, of an insulating material and which is electrically and/or mechanically connected to the electrical pole conductor extension.
  • 9. Endoscopic device according to claim 4, characterized in that the movement converter comprises at least one pivot lever which is electrically and/or mechanically connected to the at least one tool piece and which is mechanically and/or electrically connected to the thrust and/or traction piston.
  • 10. Endoscopic device according claim 9, characterized in that the pivot lever comprises a corresponding coupling element which is embodied corresponding to the coupling element of the thrust and/or traction piston and which is free of an insulating material, at least in part, wherein the coupling element and the corresponding coupling element are mechanically and/or electrically connected to one another.
  • 11. Endoscopic device according to claim 10, characterized in that the coupling element and the corresponding coupling element together define a pivot axis of the movement converter which is oriented at least substantially perpendicular to a primary extension axis of the end effector and is laterally offset thereto.
  • 12. Endoscopic device according to claim 4, characterized in that the actuating unit, for providing at least one further electrical potential, has at least one further electrical pole conductor which is embodied separately from the electrical pole conductor, and the movement converter electrically connects, at least in part, the one further electrical pole conductor to a further tool piece of the end effector.
  • 13. Endoscopic device according claim 12, characterized in that the thrust and/or traction piston comprises at least one further electrical pole conductor extension which is covered, at least in part, with an insulating material and which is arranged offset to the electrical pole conductor extension and which is electrically and/or mechanically connected to the further electrical pole conductor of the actuating unit.
  • 14. Endoscopic device according to claim 13, characterized in that in a side view, the electrical pole conductor extension surrounds, at least in part, the further electrical pole conductor extension.
  • 15. Endoscopic device according to or claim 14, characterized in that the thrust and/or traction piston has at least one further coupling element which is free of an insulating material, at least in part, and which is electrically and/or mechanically connected to the further electrical pole conductor extension.
  • 16. Endoscopic device according to claim 15, characterized in that the further coupling element is arranged on a side of the thrust and/or traction piston opposing the coupling element.
  • 17. Endoscopic device according to claim 1, characterized in that the movement converter comprises at least one further pivot lever which is connected to the at least one further tool piece of the end effector and which is electrically and/or mechanically connected to the thrust and/or traction piston.
  • 18. Endoscopic device according to 17, characterized in that the further pivot lever is arranged on a side of the thrust and/or traction piston opposing the pivot lever.
  • 19. Endoscopic device according to claim 18, characterized in that the further pivot lever comprises a further corresponding coupling element which is embodied corresponding to the further coupling element of the thrust and/or traction piston and which is free of an insulating material, at least in part, wherein the further coupling element and the further corresponding coupling element are mechanically and/or electrically connected to one another.
  • 20. Endoscopic device according to claim 19, characterized in that the further coupling element and the further corresponding coupling element together define a further pivot axis which is oriented at least substantially perpendicular to a main extension axis of the end effector and is arranged laterally offset thereto, wherein the further pivot axis is different from the pivot axis which is defined by the coupling element and the corresponding coupling element.
  • 21. Endoscopic device according to claim 1, characterized in that the end effector has an end effector head which is embodied, at least in part, from an insulating material and within which the movement converter is arranged, at least to a large extent.
  • 22. Endoscopic device according to claim 1, characterized by an insulating material which has a CTI value of at least 150.
  • 23. Endoscopic device according to claim 1, characterized in that the insulating material is arranged in a seamless manner.
  • 24. Endoscope and/or endoscopic instrument with an endoscopic device according to claim 1.
  • 25. Surgical system with at least one endoscopic device according to claim 1 and with at least one surgical robot.
  • 26. Method for operating and/or producing an endoscopic device according to claim 1.
Priority Claims (1)
Number Date Country Kind
10 2019 121 035.6 Aug 2019 DE national