Patent Grant
10342561
The various embodiments disclosed herein relate to various medical device systems and related components, including robotic and/or in vivo medical devices and related components. More specifically, certain embodiments include various medical device operational components, often referred to as “end effectors.” Certain end effector embodiments disclosed herein relate to quick-release end effectors that can be easily coupled to and removed from a medical device—including the forearm of a robotic medical device—with ease and efficiency. Further embodiments relate to systems and methods for operating the above components.
Invasive surgical procedures are essential for addressing various medical conditions. When possible, minimally invasive procedures, such as laparoscopy, are preferred. However, known minimally invasive technologies such as laparoscopy are limited in scope and complexity due in part to the need to remove and insert new surgical tools into the body cavity when changing surgical instruments due to the size of the access ports. Known robotic systems such as the da Vinci® Surgical System (available from Intuitive Surgical, Inc., located in Sunnyvale, Calif.) are also restricted by the access ports and trocars, the necessity for medical professionals to remove and insert new surgical tools into the abdominal cavity, as well as having the additional disadvantages of being very large, very expensive, unavailable in most hospitals, and having limited sensory and mobility capabilities.
Various robotic surgical tools have been developed to perform certain procedures inside a target cavity of a patient. These robotic systems are intended to replace the standard laparoscopic tools and procedures—such as, for example, the da Vinci® system—that involve the insertion of long surgical tools through trocars positioned through incisions in the patient such that the surgical tools extend into the target cavity and allow the surgeon to perform a procedure using the long tools. As these systems are developed, various new components are developed to further improve the operation and effectiveness of these systems.
There is a need in the art for improved end effectors for use with medical devices, including robotic surgical systems.
Discussed herein are various arms or forearms of medical devices that are configured to receive quick-release end effectors. Further embodiments relate to such quick-release end effectors. Additional implementations relate to arms or forearms of medical devices coupled to such quick-release end effectors.
In Example 1, an arm component for a medical device comprises an arm body, a rotatable cylinder disposed within the arm body, and a rotatable linear drive component operably coupled to the rotatable cylinder. The rotatable cylinder comprises a fluidically sealed end effector lumen defined within the rotatable cylinder and at least one torque transfer channel defined in a wall of the end effector lumen. The rotatable linear drive component comprises a rotatable body, and a drive component lumen defined in a distal portion of the rotatable body, wherein the drive component lumen comprises mating features defined within the drive component lumen.
Example 2 relates to the arm component according to Example 1, further comprising a ring seal disposed between the arm body and the rotatable cylinder.
Example 3 relates to the arm component according to Example 1, further comprising a first motor operably coupled to a first drive gear, wherein the first drive gear is operably coupled to an external gear disposed on an outer wall of the rotatable cylinder, wherein actuation of the first motor causes rotation of the rotatable cylinder.
Example 4 relates to the arm component according to Example 1, further comprising a second motor operably coupled to a second drive gear, wherein the second drive gear is operably coupled to a driven gear operably coupled to the linear drive component, wherein actuation of the second motor causes rotation of the linear drive component. Example 5 relates to the arm component according to Example 1, further comprising a first outer contact ring disposed around the rotatable cylinder, a second outer contact ring disposed around the rotatable cylinder, a first contact component disposed on an outer wall of the rotatable cylinder such that the first contact component is in continuous contact with the first inner contact ring regardless of a rotational position of the rotatable cylinder, a second contact component disposed on the outer wall of the rotatable cylinder such that the second contact component is in continuous contact with the second inner contact ring regardless of the rotational position of the rotatable cylinder, a first inner contact ring disposed on the inner wall of the end effector lumen, and a second inner contact ring disposed on the inner wall of the end effector lumen.
Example 6 relates to the arm component according to Example 5, further comprising a quick-release end effector configured to be positionable within the end effector lumen, the quick-release end effector comprising first and second end effector contact components, wherein the first end effector contact component is in contact with the first inner contact ring and the second end effector contact component is in contact with the second inner contact ring when the quick-release end effector is operably coupled to the arm.
Example 7 relates to the arm component according to Example 1, further comprising a quick-release end effector configured to be positionable within the end effector lumen. The quick-release end effector comprises an end effector body, at least one torque transfer protrusion defined in an exterior portion of the end effector body, a rod disposed within the end effector body, and a rod coupling component disposed at a proximal portion of the rod. The at least one torque transfer protrusion is configured to be mateable with the at least one torque transfer channel in the end effector lumen. The rod coupling component is configured to be coupleable with the mating features defined in the lumen of the rotatable linear drive component.
In Example 8, a quick-release end effector for a medical device comprises an end effector body, an end effector coupling component disposed around the end effector body, at least one torque transfer protrusion defined in an exterior portion of the end effector body, a rod disposed within the end effector body, a rod coupling component disposed at a proximal portion of the rod, and first and second contact rings disposed around the rod. The end effector coupling component comprises at least one male protrusion extending from the coupling component. The rod coupling component comprising first mating features disposed on an external portion of the rod coupling component.
Example 9 relates to the quick-release end effector according to Example 8, further comprising an end effector disposed at a distal end of the end effector body, wherein the end effector is operably coupled to the rod such that actuation of the rod causes actuation of the end effector.
Example 10 relates to the quick-release end effector according to Example 8, further comprising a grasper end effector comprising first and second grasper arms, wherein the first contact ring is electrically coupled to the first grasper arm and the second contact ring is electrically coupled to the second grasper arm.
Example 11 relates to the quick-release end effector according to Example 8, wherein the end effector is configured to be positionable in a lumen of an arm of a medical device.
Example 12 relates to the quick-release end effector according to Example 8, wherein the end effector is configured to be positionable in a lumen of an arm of a medical device, the lumen comprising at least one torque transfer channel defined in the lumen, wherein the at least one torque transfer protrusion is configured to be mateable with the at least one torque transfer channel in the end effector lumen.
Example 13 relates to the quick-release end effector according to Example 8, wherein the end effector is configured to be positionable in a lumen of an arm of a medical device, wherein the arm comprises at least one female channel defined in a distal portion of the arm, wherein the end effector coupling component is configured to be coupleable to the arm such that the at least one male protrusion is mateable with the at least one female channel.
Example 14 relates to the quick-release end effector according to Example 8, wherein the end effector is configured to be positionable in an arm of a medical device. The arm comprises an arm body, a rotatable cylinder disposed within the arm body, and a rotatable linear drive component operably coupled to the rotatable cylinder. The rotatable cylinder comprises an end effector lumen defined within the rotatable cylinder, and at least one torque transfer channel defined in a wall of the end effector lumen. The linear drive component comprises a rotatable body, and a lumen defined in a distal portion of the rotatable body, wherein the lumen comprises second mating features defined within the lumen. The first mating features of the rod coupling component are configured to be coupleable with the second mating features defined within the lumen of the rotatable linear drive component.
In Example 15, an arm component for a medical device comprises a forearm and a quick-release end effector. The forearm comprises a forearm body, a fluidically sealed tube defining an end effector lumen within the forearm body, a magnetic ring disposed around the end effector lumen, and a linear drive component disposed at a proximal end of the end effector lumen. The linear drive component comprises a proximal section comprising external threads and a slot defined in a distal portion of the linear drive component. The quick-release end effector is configured to be positionable within the end effector lumen and comprises an end effector body, a magnetic collar disposed around the end effector body, a rod disposed within the end effector body, and at least one finger component operably coupled to the rod, wherein the at least one finger component extends proximally from the rod and is configured to be coupleable with the slot in the linear drive component.
Example 16 relates to the arm component for a medical device according to Example 15, further comprising a first motor operably coupled to a first drive gear, wherein the first drive gear is operably coupled to a first driven gear, wherein the driven gear is operably coupled to the magnetic ring, wherein actuation of the first motor causes rotation of the magnetic ring.
Example 17 relates to the arm component for a medical device according to Example 16, wherein the magnetic collar is magnetically coupleable with the magnetic ring such that rotation of the magnetic ring causes rotation of the magnetic collar.
Example 18 relates to the arm component for a medical device according to Example 15, further comprising a second motor operably coupled to a second drive gear, wherein the second drive gear is operably coupled to a drive cylinder, wherein the drive cylinder is operably coupled to the proximal section of the linear drive component, wherein the actuation of the second motor causes axial movement of the linear drive component.
Example 19 relates to the arm component for a medical device according to Example 15, wherein the fluidically sealed tube is fixedly coupled to the linear drive component, wherein the fluidically sealed tube is configured to flex when the linear drive component moves axially.
Example 20 relates to the arm component for a medical device according to Example 15, further comprising a compression spring disposed within the forearm body, wherein the compression spring is operably coupled to the forearm body and the at least one finger.
In Example 21, an arm component for a medical device comprises a forearm comprising a forearm body, a fluidically sealed tube defining an end effector lumen within the forearm body, a first magnetic ring disposed around the end effector lumen at or near the distal end of the forearm body, a first motor operably coupled to a first drive gear, a second magnetic ring disposed around the end effector lumen at or near a proximal end of the forearm body, and a second motor operably coupled to a second drive gear. The lumen comprises an opening defined at a distal end of the forearm body. The first drive gear is operably coupled to a first driven gear, wherein the first driven gear is operably coupled to the first magnetic ring. The second drive gear is operably coupled to a second driven gear, wherein the second driven gear is operably coupled to the second magnetic ring.
In Example 22, an arm component for a medical device comprises a forearm and a quick-release end effector. The forearm comprises a forearm body, a rotatable cylinder disposed within the forearm body, a linear drive component operably coupled to the rotatable cylinder, and a rotatable drive component defining a drive component lumen comprising internal threads. The rotatable cylinder comprises an end effector lumen defined within the rotatable cylinder. The linear drive component comprises a proximal section comprising external threads, a lumen defined in a distal portion of the linear drive component, and a cylinder coupling pin coupled to the linear drive component. The lumen comprises a hook coupling pin disposed within the lumen. Each end of the cylinder coupling pin is slideably disposed in a longitudinal slot defined in the rotatable cylinder. The drive component lumen is configured to be threadably coupled to the proximal section of the linear drive component. The quick-release end effector is configured to be positionable within the end effector lumen and comprises an end effector body, a rod disposed within the end effector body, and a coupling hook operably coupled to a proximal portion of the rod, wherein the coupling hook extends proximally from the rod and is configured to be coupleable with the hook coupling pin.
While multiple embodiments are disclosed, still other embodiments of the present invention will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the invention. As will be realized, the invention is capable of modifications in various obvious aspects, all without departing from the spirit and scope of the present invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.
The various systems and devices disclosed herein relate to devices for use in medical procedures and systems. More specifically, various embodiments relate to end effector components or devices that can be used in various procedural devices and systems. For example, certain embodiments relate to quick-release end effector components incorporated into or used with various medical devices, including robotic and/or in vivo medical devices. It is understood that the term “quick-release” as used herein are intended to describe any end effector, forearm, or combination thereof that can be easily and/or quickly coupled and/or uncoupled by anyone in the surgical theater, including any nurse or assistant (in contrast to a component that cannot be coupled or uncoupled quickly or easily or requires someone with technical expertise).
It is understood that the various embodiments of end effector devices or components disclosed herein can be incorporated into or used with any other known medical devices, systems and methods, including, but not limited to, robotic or in vivo devices as defined herein. For example,
As a further example, the various embodiments disclosed herein can be incorporated into or used with any of the medical devices and systems disclosed in copending U.S. application Ser. No. 11/766,683 (filed on Jun. 21, 2007 and entitled “Magnetically Coupleable Robotic Devices and Related Methods”), Ser. No. 11/766,720 (filed on Jun. 21, 2007 and entitled “Magnetically Coupleable Surgical Robotic Devices and Related Methods”), Ser. No. 11/966,741 (filed on Dec. 28, 2007 and entitled “Methods, Systems, and Devices for Surgical Visualization and Device Manipulation”), 61/030,588 (filed on Feb. 22, 2008), Ser. No. 12/171,413 (filed on Jul. 11, 2008 and entitled “Methods and Systems of Actuation in Robotic Devices”), Ser. No. 12/192,663 (filed Aug. 15, 2008 and entitled Medical Inflation, Attachment, and Delivery Devices and Related Methods”), Ser. No. 12/192,779 (filed on Aug. 15, 2008 and entitled “Modular and Cooperative Medical Devices and Related Systems and Methods”), Ser. No. 12/324,364 (filed Nov. 26, 2008 and entitled “Multifunctional Operational Component for Robotic Devices”), 61/640,879 (filed on May 1, 2012), Ser. No. 13/493,725 (filed Jun. 11, 2012 and entitled “Methods, Systems, and Devices Relating to Surgical End Effectors”), Ser. No. 13/546,831 (filed Jul. 11, 2012 and entitled “Robotic Surgical Devices, Systems, and Related Methods”), 61/680,809 (filed Aug. 8, 2012), Ser. No. 13/573,849 (filed Oct. 9, 2012 and entitled “Robotic Surgical Devices, Systems, and Related Methods”), Ser. No. 13/738,706 (filed Jan. 10, 2013 and entitled “Methods, Systems, and Devices for Surgical Access and Insertion”), Ser. No. 13/833,605 (filed Mar. 15, 2013 and entitled “Robotic Surgical Devices, Systems, and Related Methods”), Ser. No. 13/839,422 (filed Mar. 15, 2013 and entitled “Single Site Robotic Devices and Related Systems and Methods”), Ser. No. 13/834,792 (filed Mar. 15, 2013 and entitled “Local Control Robotic Surgical Devices and Related Methods”), Ser. No. 14/208,515 (filed Mar. 13, 2014 and entitled “Methods, Systems, and Devices Relating to Robotic Surgical Devices, End Effectors, and Controllers”), Ser. No. 14/210,934 (filed Mar. 14, 2014 and entitled “Methods, Systems, and Devices Relating to Force Control Surgical Systems), Ser. No. 14/212,686 (filed Mar. 14, 2014 and entitled “Robotic Surgical Devices, Systems, and Related Methods”), and Ser. No. 14/334,383 (filed Jul. 17, 2014 and entitled “Robotic Surgical Devices, Systems, and Related Methods”), and U.S. Pat. No. 7,492,116 (filed on Oct. 31, 2007 and entitled “Robot for Surgical Applications”), U.S. Pat. No. 7,772,796 (filed on Apr. 3, 2007 and entitled “Robot for Surgical Applications”), and U.S. Pat. No. 8,179,073 (issued May 15, 2011, and entitled “Robotic Devices with Agent Delivery Components and Related Methods”), all of which are hereby incorporated herein by reference in their entireties.
In accordance with certain exemplary embodiments, any of the various embodiments disclosed herein can be incorporated into or used with a natural orifice translumenal endoscopic surgical device, such as a NOTES device. Those skilled in the art will appreciate and understand that various combinations of features are available including the features disclosed herein together with features known in the art.
Certain device implementations disclosed in the applications listed above can be positioned within or into a body cavity of a patient, including certain devices that can be positioned against or substantially adjacent to an interior cavity wall, and related systems. An “in vivo device” as used herein means any device that can be positioned, operated, or controlled at least in part by a user while being positioned into or within a body cavity of a patient, including any device that is positioned substantially against or adjacent to a wall of a body cavity of a patient, further including any such device that is internally actuated (having no external source of motive force), and additionally including any device that may be used laparoscopically or endoscopically during a surgical procedure. As used herein, the terms “robot,” and “robotic device” shall refer to any device that can perform a task either automatically or in response to a command.
Further, the various end effector embodiments could be incorporated into various robotic medical device systems that are actuated externally, such as those available from Apollo Endosurgery, Inc., Hansen Medical, Inc., Intuitive Surgical, Inc., and other similar systems, such as any of the devices disclosed in the applications that are incorporated herein elsewhere in this application. Alternatively, the various end effector embodiments can be incorporated into any medical devices that use end effectors.
The disk 60 is fixedly coupled to the central rod 68 via a connection tab 76 that is positioned in a slot 78 (as best shown in
The first leaf spring 64 is electrically connected to one of the blades of the grasper 54 via a wire or other electrical connection (not shown), while the second leaf spring (not shown) is electrically connected to the other of the two blades of the grasper 54 in the same or a similar fashion. In this implementation, the blades of the grasper 54 are electically isolated from each other. As such, the graspers 54 can be a cautery tool with electrical energy being transferred to the grasper 54 blades via the leaf springs 64, not shown, as explained in further detail below.
The two finger components 66 are positioned on opposite sides of the central rod 68 and are attached to the rod 68 at the distal end of the fingers 66 (or along a distal portion of the
In one implementation, the forearm 52 has an end effector lumen 80 defined by a fluidically impervious tube 82 such that the lumen 80 is fluidically sealed. As a result, the internal components of the forearm 52 are fluidically sealed off from any fluids present in the lumen 80. As such, the lumen 80 is capable of receiving an end effector (such as end effector 50) while maintaining a complete fluidic or hermetic seal between the lumen 80 (and any fluids in the lumen 80) and the interior portions of the forearm 52. In this implementation, the fluidic seal created by the tube 82 makes it possible to quickly remove and replace any end effector (such as end effector 50) without risking contamination of the interior components of the forearm 52.
The lumen 80, in one embodiment, has a shoulder 80B that separates a larger diameter portion 80A from a smaller diameter portion 80C. The tube 82 is positioned in the lumen 80 such that the tube 82 defines the lumen 80. In one implementation, the tube 82 is fixedly coupled or affixed to the linear drive component 92 at a proximal end of the tube 82 as best shown in
Further, the forearm 52 has a coupling projection 84 (discussed above), a magnetic ring 86, and two contact rings 88, 90. In addition, the forearm 52 has a linear drive component 92 that has a threaded proximal shaft 94 and a slot 108 defined in a distal portion of the component 92. Alternatively, the threaded shaft 94 is a separate component operably coupled to the linear drive component 92. The forearm 52 also has a drive cylinder 95 having a threaded lumen (not shown) through which the threaded shaft 94 is positioned such that the threaded shaft 94 is threadably coupled to the drive cylinder 95. In addition, two bearings 104, 106 are disposed around the drive cylinder 95 such that the drive cylinder 95 is rotatably positioned within the bearings 104, 106.
Each of the contact rings 88, 90 is positioned around the wall of the tube 82 of the lumen 80 such that each ring 88, 90 encircles the lumen 80. One of the contact rings 88, 90 is positioned along the length of the lumen 80 such that it is in contact with the leaf spring 64 when the end effector 50 is coupled to the forearm 52 as shown in
The magnetic ring 86 is made up of at least one magnet, and the ring is configured to rotate around the lumen 80. The end effector 50 is rotated via the magnetic interaction of the magnetic collar 58 on the end effector 50 and the magnetic ring 86 on the forearm 52. That is, the motor 102 in the forearm 52 can be actuated to drive the drive gear 98, which drives the driven gear 96, which is operably coupled to the magnetic ring 86 such that the magnetic ring 86 is rotated. The magnetic ring 86 is magnetically coupled to the magnetic collar 58 such that rotation of the magnetic ring 86 causes the magnetic collar 58 to rotate, thereby rotating the end effector 50. That is, the magnetic coupling of the magnetic ring 86 in the forearm 52 and the magnetic collar 58 on the end effector 50 can cause the rotation of the end effector 50 without a physical connection between the end effector 50 and the forearm 52.
In addition, the end effector 50 is actuated such that the grasper 54 moves between an open position and a closed position via the linear drive component 92. The end effector 50 is coupled to the linear drive component 92 via the coupling fingers 66, which are positioned around the drive component 92 and into a slot 108 defined in the drive component 92 as shown in
As a result, the actuation of the linear drive component 92 causes the end effector 50 to be actuated to move linearly. That is, as discussed above, the threaded shaft 94 is threadably coupled at its proximal end to a drive cylinder 95 that can be actuated to cause the threaded shaft 94 to move axially. More specifically, the drive cylinder 95 is operably coupled to a drive gear (not shown) that is operably coupled to a motor (not shown) that can be actuated to rotate the drive gear and thereby rotate the drive cylinder 95. The rotation of the drive cylinder 95 causes the threaded shaft 94 to move axially via the threaded connection between the drive cylinder 95 and the threaded shaft 94. The threaded shaft 94 is configured such that it cannot be rotated. That is, the threaded shaft 94 has a slot 97 defined longitudinally in the shaft 94 such that a projection (also referred to as a “tongue” or “key”) (not shown) coupled to the forearm 52 can be positioned in the slot 97, thereby preventing the threaded shaft 94 from rotating while allowing the threaded shaft 94 to move axially. The linear drive component 92 is coupled to the threaded shaft 94 such that rotation of the drive cylinder 95 causes the threaded shaft 94 to move axially, thereby causing the linear drive component 92 to move axially. Thus, actuation of the drive cylinder 95 by the motor (not shown) causes linear movement of the threaded shaft 94 and the linear drive component 92, thereby causing linear movement of the central rod 68, which results in the moving of the grasper 54 between an open configuration and a closed configuration via known grasper components for accomplishing the movement between those two configurations.
The end effector 50 is configured to be easily coupled to and uncoupled from the forearm 52 such that a user (such as a surgeon) can easily remove and replace one end effector with another during a medical procedure. As shown in
In
It is understood that the end effector 50 can also be removed just as easily. First, the coupler 56 is pulled distally away from the forearm 52, thereby uncoupling the coupler 56 from the projection 84 as best shown in
It is understood that the end effector 50 can be either bipolar or monopolar. Similarly, any of the other end effector embodiments disclosed or contemplated herein can also be either bipolar or monopolar, except as discussed in detail below with respect to the end effectors 260, 262 depicted in
Further, like the previous embodiment (above), the forearm body 150 has an end effector lumen 160 defined by a fluidically impervious tube 162 such that the lumen 160 is fluidically or hermetically sealed, thereby fluidically sealing the internal components of the forearm 150 from any fluids present in the lumen 160. The tube 162 is positioned in the lumen 160 such that the tube 162 defines the lumen 160. The lumen 162 contains two contact rings 164, 166.
Each ring 152, 154 is configured to rotate around the lumen 160 and thereby actuate the end effector (not shown) as described above. More specifically, the first magnetic ring 152 is caused to rotate and thereby cause a magnetic collar (not shown) or other magnetic component on the end effector (not shown) to rotate via the magnetic coupling between the ring 152 and the collar (not shown), thereby causing the end effector (not shown) to rotate. Further, the second magnetic ring 154 is caused to rotate and cause a second magnetic collar (not shown) or other magnetic component on the end effector (not shown) to rotate via the magnetic coupling between the two components, thereby actuating the end effector to operate.
Each of the contact rings 164, 166 is positioned around the wall of the tube 162 of the lumen 160 such that each ring 164, 166 encircles the lumen 160. In this embodiment, each of the contact rings 164, 166 is positioned along the length of the lumen 160 such that each is in contact with one contact component on the end effector (not shown). For example, if an end effector similar to the end effector 50 discussed above and depicted in
The first magnetic ring 152 is actuated by a first motor 180, which is operably coupled to a drive gear 182, which is operably coupled to a driven gear 184, which is operably coupled to the first magnetic ring 152. Thus, actuation of the first motor 180 actuates the first magnetic ring 152 to rotate. Similarly, the second magnetic ring 154 is actuated by a second motor 190, which is operably coupled to a drive gear 192, which is operably coupled to a driven gear 194, which is operably coupled to the second magnetic ring 154. Thus, actuation of the second motor 180 actuates the second magnetic ring 154 to rotate.
Thus, in this embodiment, the forearm 150 actuates an end effector (not shown) entirely by magnetic couplings, rather than mechanical couplings. The first magnetic ring 152 rotates the end effector (not shown) via the magnetic interaction between the ring 152 and the corresponding magnetic collar (not shown) or other magnetic component on the end effector (not shown), while the second magnetic ring 154 actuates the end effector (not shown) via the magnetic interaction between the ring 154 and the corresponding magnetic collar (not shown) or other magnetic component on the end effector (not shown).
Hence, the forearm 150 is configured to allow for easy coupling and removal of an end effector (not shown), such that a user (such as a surgeon) can easily remove and replace one end effector with another during a medical procedure.
As best shown in
The forearm body 202 has an end effector lumen 220 defined by a rotatable cylinder 222 such that the cylinder 222 defines the lumen 220. The cylinder 222 has a button channel 224 defined in the cylinder 222 to accommodate the release button 212 when the end effector 200 is positioned within the lumen 220, and two contact rings 226, 228. In addition, the cylinder 222 has two longitudinal channels (not shown) defined on opposite sides of the inner wall of the lumen 220 that are configured to receive the first protrusion 210 (as shown in
Each of the contact rings 226, 228 is positioned on the cylinder 222 such that a portion of each ring 226, 228 is positioned around the inner wall of the cylinder 222 such that each ring encircles the lumen 220. In this embodiment, each of the contact rings 226, 228 is positioned along the length of the lumen 220 such that each is in contact with one of the two contact strips 209, 211 on the rod 208 when the end effector 200 is coupled to the forearm 202 as shown in
Further, each of the contact rings 226, 228 is in contact with a stationary contact ring 227, 229 disposed in the forearm 202 such that they encircle the cylinder 222. In addition to being positioned such that a portion is disposed around the inner wall of the cylinder 222, each of the rings 226, 228 also has a portion that is disposed around the external wall of the cylinder 222 such that each ring 226, 228 contacts one of the two stationary contact rings 227, 229 as well. Thus, electrical energy can be transmitted from the power sources to the stationary contact rings 227, 229 and—via the contact between the stationary rings 227, 229 and the contact rings 226, 228—to the contact strips 209, 221 and thereby to the grasper 204 blades. As a result, the grasper 204 can be a bipolar cautery tool. Alternatively, the end effector 200 can also be a monopolar cautery tool if the same electrical energy is supplied to both stationary contact rings 227, 229.
In addition, the forearm 202 has a linear drive component 230 disposed in a proximal end of the rotatable cylinder 222. The drive component 230 has a lumen 232 defined in its distal end, and the lumen 232 has a coupling pin (also referred to as a “hook coupling pin”) 234 extending from one side of the lumen 232 to the other. The pin 234 is configured to be coupleable with the coupling hook 214 of the end effector 200 as will be described in further detail below. Further, the drive component 230 also has a coupling pin (also referred to as a “cylinder coupling pin”) 235 that extends beyond the outer circumference of the drive component 230 such that the ends of the pin 235 are positioned in slots 237A, 237B defined in the inner wall of the rotatable cylinder 222. The pin 235 is fixedly coupled to the drive component 230. Each of these slots 237A, 237B has a length that extends longitudinally along the length of the rotatable cylinder 222. As a result, this pin 235 is slidably positioned in the slots 237A, 237B such that the drive component 230 can be moved linearly but cannot rotate in relation to the rotatable cylinder 222. Thus, any rotation of the drive component 230 causes rotation of the rotatable cylinder 222. This configuration prevents the hook 214 from becoming decoupled from the pin 234. That is, the pin 235 prevents the drive component 230 from rotating in relation to the rotatable cylinder 222, thereby ensuring the hook 214 remains coupled to the pin 234.
Further, the proximal end of the drive component 230 has an externally threaded proximal shaft (also referred to as a linear translation component) 236. Alternatively, the shaft 236 is a separate component operably coupled to the drive component 230, via a retaining ring 241. The retaining ring 241 results in the drive component 230 being capable of rotating in relation to the linear translation component 236. Further, the shaft 236 is prevented from rotating by a groove (not shown) defined in the shaft 236 that mates with a tongue 243. In addition, the shaft 236 is positioned within a lumen 238 in a rotatable linear drive component 239 and is threadably coupled to the internal threads defined in the lumen 238. Thus, when the rotatable drive component 239 is rotated by the linear actuation motor (not shown), the threaded connection of the shaft 236 to the rotatable drive component 239 causes the shaft 236 to move linearly, thereby resulting in the drive component 230 moving linearly as well.
The forearm 202 also has a motor 240 coupled to a drive gear 244 via a drive shaft 242. The drive gear 244 is coupled to a driven gear 246 that encircles and is coupled to the rotatable cylinder 222 such that rotation of the driven gear 246 causes the rotatable cylinder 222 to rotate.
The end effector 200 is rotated via the motor 240 that is operably coupled to the driven gear 246. That is, the motor 240 in the forearm 202 can be actuated to drive the drive gear 244, which drives the driven gear 246, which is operably coupled to the rotatable cylinder 222 as described above such that the rotatable cylinder 222 is rotated. The rotatable cylinder 222 is coupled to the end effector 200 when the end effector 200 is fully seated in the lumen 220 of the forearm 202 such that rotation of the rotatable cylinder 222 causes the end effector 200 to rotate. That is, as best shown in
In addition, the end effector 200 is actuated such that the grasper 204 moves between an open position and a closed position via the linear drive component 230. The end effector 200 is coupled to the linear drive component 230 via the coupling hook 214, which is positioned into the lumen 232 of the drive component 230 and around the pin 234 positioned in the lumen 232. That is, during insertion of the end effector 200 into the forearm 202, the hook 214 is positioned into the lumen 232 prior to the substantially ninety degree rotation of the end effector 200 such that the hook 214 extends proximally past the pin 234. Thus, when the end effector 200 is rotated, the hook 214 couples to the pin 234 and thereby couples the end effector 200 to the drive component 230. The coupling of the drive component 230 to the end effector 200 via the hook 214 and pin 234 results in the end effector 200 being linearly coupled to the linear drive component 230 such that the end effector 200 cannot move linearly in relation to the drive component 230.
As a result of the coupling of the hook 214 to the pin 234, the actuation of the linear drive component 230 causes the end effector 200 to be actuated to move linearly. That is, the rotatable linear drive component 239 is coupled at its proximal end to a driven gear 250 that is coupled to a drive gear (not shown), which is coupled to a motor (not shown) that can be actuated to rotate the driven gear 250 and thus the rotatable drive component 239. As discussed above, the threaded section 236 of the linear drive component 230 is positioned in and threadably connected with the lumen 238 in the rotatable drive component 239. As a result, rotation of the drive component 239 causes the linear drive component 230 to move axially. Thus, actuation of the drive component 239 by the motor (not shown) causes linear movement of the linear drive component 230, thereby causing linear movement of the central rod 208, which results in the moving of the grasper 204 between an open configuration and a closed configuration via known grasper components for accomplishing the movement between those two configurations.
The end effector 200 is configured to be easily coupled to and uncoupled from the forearm 202 such that a user (such as a surgeon) can easily remove and replace one end effector with another during a medical procedure. To insert the end effector 200 into the forearm 202 and couple it thereto as shown in
It is understood that the end effector 200 can also be easily removed. The release button 212 on the end effector 200 is operably coupled to the coupling hook 214 such that actuation of the button 212 causes the hook 214 to uncouple from the pin 234. Thus, to remove the end effector 200 from the forearm 202, a user can depress the button 212 and then rotate or twist the end effector 200 (in the opposite direction of that required to couple the end effector 200). The rotation of the end effector 200 moves the protrusions 212 (and not shown) along the axial slots (not shown) so that the protrusions 212 (and not shown) are positioned in the channels (not shown) such that they can move distally along the channels (not shown). At this point, the end effector 200 can be removed from the lumen 220 of the forearm 202.
As shown in
In an alternative embodiment, the end effector 262 can have a pair of scissors 268 as shown in
As shown in
As best shown in
Alternatively, instead of seal 318, which extends from the rotatable cylinder 302, the seal (not shown) for retaining the fluidic seal of the forearm 264 can instead extend from an inner lumen of the forearm 264—such as a portion of the forearm 264 proximal to the female channels 380—and contact the rotatable cylinder 302, thereby providing the desired fluidic seal for the forearm 264 as described above.
In addition, the forearm 264 has a rotatable linear drive component 330 disposed in the forearm 264 proximally to the rotatable cylinder 302, as best shown in
Alternatively, instead of ring seal 338, which extends from the linear drive component 330, the seal (not shown) for retaining the fluidic seal can instead extend from the lumen 300 of the rotatable cylinder 302 and contact the rotatable linear drive component 330, thereby providing the desired fluidic seal.
When the end effector 260/262 is coupled to the forearm 264 as best shown in
Returning to
In one embodiment as best shown in
As best shown in
In one implementation, any lumen in any forearm device described or contemplated herein is configured to be easy to sterilize. That is, each lumen is configured to have no crevices or other features that are inaccessible or difficult to access during sterilization. Further, certain embodiments have lumens that have dimensions that make for easy sterilization. That is, such lumens have a length that is sufficiently short and a diameter that is sufficiently large to be accessible by appropriate sterilization tools and techniques. In one specific example, any one or more of the lumens disclosed or contemplated herein can have an inside diameter of at least 3 mm and a length of 400 mm or shorter. Alternatively, the lumen(s) can have an inside diameter of at least 2 mm and a length of 250 mm or shorter. In a further alternative, the lumen(s) can have an inside diameter of at least 1 mm and a length of 125 mm or shorter. In yet another alternative, the lumen(s) can have any dimensions that simplify sterilization.
According to certain embodiments, the various forearm and end effector embodiments disclosed or contemplated herein provide for easy, quick coupling and uncoupling of the end effector to the forearm while providing for one or even two mechanical couplings or interfaces and one or two electrical couplings or interfaces. That is, the various embodiments disclosed herein allow for simple attachment of an end effector to a forearm while also providing up to two electrical couplings and up to two mechanical couplings between the forearm and the end effector.
Although the various embodiments have been described with reference to preferred embodiments, persons skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the invention.
This application claims the benefit under 35 U.S.C. § 119(e) to U.S. Provisional Application 62/049,419, filed Sep. 12, 2014 and entitled “Quick-Release End Effectors and Related Systems and Methods,” which is hereby incorporated herein by reference in its entirety.
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| Number | Date | Country | |
|---|---|---|---|
| 20160074120 A1 | Mar 2016 | US |
| Number | Date | Country | |
|---|---|---|---|
| 62049419 | Sep 2014 | US |
