The present disclosure relates to surgical instruments and, more specifically, to robotic surgical instruments and methods.
Robotic surgical systems are increasingly utilized in various different surgical procedures. Some robotic surgical systems include a console supporting one or more robotic arms. One or more different surgical instruments may be configured for use with the robotic surgical system and selectively mountable to the one or more robotic arms. The robotic arm(s) provides one or more inputs to the mounted surgical instrument(s) to enable operation of the mounted surgical instrument(s).
Surgical instruments, including robotic surgical instruments, can generally be categorized as reusable instruments (e.g., instruments that are cleaned and/or sterilized), disposable instruments (e.g., instruments that are discarded after a single use), or reposable instruments (e.g., instruments wherein portions are disposable and other portions are reusable after cleaning and/or sterilization). More recently, reprocessed instruments have been introduced by manufacturers wherein some or all components of a used instrument are refurbished, modified, and/or replaced to ready the instrument for subsequent use.
As used herein, the term “distal” refers to the portion that is being described which is farther from an operator (which may be, in robotic applications, a surgical robot), while the term “proximal” refers to the portion that is being described which is closer to the operator. The terms “about,” substantially,” and the like, as utilized herein, are meant to account for manufacturing, material, environmental, use, measurement, and other tolerances acceptable in the art. Further, to the extent consistent, any of the aspects described herein may be used in conjunction with any or all of the other aspects described herein.
Provided in accordance with aspects of the present disclosure is a robotic surgical instrument including a first portion and a second portion. The first portion includes a first portion of a housing, a shaft extending distally form the housing, and first and second structural jaw bodies. The shaft includes a proximal segment, a distal segment, and an articulating portion disposed between and interconnecting the proximal and distal segments. The first and second structural jaw bodies are coupled to the distal segment of the shaft and extend distally therefrom. At least one of the first or second structural jaw bodies is movable relative to the other and the distal segment of the shaft between a spaced-apart position and an approximated position. The second portion includes an electrical cable and first and second structural jaw bodies. The electrical cable includes at least one cable body, first and second distal electrical connectors extending distally from the at least one cable body, and an electrical plug extending proximally from the at least one cable body. The first and second structural jaw bodies define tissue-contacting surfaces and include the first and second distal electrical connectors electrically coupled thereto. The first and second portions are releasably engagable with one another in at least three locations via at least three of: a first coupler coupling the cable body with the first portion of the housing; a second coupler coupling the cable body with the proximal segment of the shaft; a third coupler coupling the cable body with the articulating portion of the shaft; or a fourth coupler coupling the first and second electrically conductive plates with the first and second structural jaw bodies, respectively.
In an aspect of the present disclosure, the first and second portions are releasably engagable with one another in at least four locations via each of the first coupler, the second coupler, the third coupler, and the fourth coupler.
In another aspect of the present disclosure, the second portion further includes a second portion of the housing having the cable body secured thereto. In such aspects, the first coupler includes complementary engagement components disposed on the first and second portions of the housing wherein engagement of the complementary engagement components couples the first and second portions of the housing with one another, thereby coupling the cable body with the first portion of the housing.
In another aspect of the present disclosure, the complementary engagement components are configured to engage one another upon approximation of the second portion of the housing relative to the first portion of the housing in at least one of: a direction generally perpendicular to a longitudinal axis of the shaft or a direction generally parallel to the longitudinal axis of the shaft.
In still another aspect of the present disclosure, the complementary engagement components include male and female snap-fit connectors or keyhole apertures and keyhole fittings.
In yet another aspect of the present disclosure, the first coupler includes a plurality of engagement features defined within and/or disposed on the first portion of the housing arranged to define a tortuous path, and the cable body is configured for receipt within the tortuous path to thereby couple the cable body with the first portion of the housing. The engagement features may include posts, recesses, protrusions, catches, undercuts, etc.
In still yet another aspect of the present disclosure, the first coupler includes a clip having the cable body secured thereto. The clip is configured to releasably engage the proximal segment of the shaft in abutment with or adjacent the first portion of the housing.
In another aspect of the present disclosure, the second coupler includes a slot and a mouth providing access to the slot. The slot and mouth are defined within the proximal segment of the shaft along at least a portion of a length thereof. The cable body is configured for insertion through the mouth and into the slot to thereby secure the cable body to the proximal segment of the shaft along the at least a portion of the length thereof.
In an aspect of the present disclosure, the second coupler includes at least one clip having the cable body attached thereto. The at least one clip is configured for engagement about the proximal segment of the shaft to thereby secure the cable body to the proximal segment of the shaft.
In yet another aspect of the present disclosure, the second coupler includes a slot and a mouth providing access to the slot. The slot and the mouth are defined within the proximal segment of the shaft. The second coupler further includes at least one clip having the cable body attached to an inwardly protruding portion thereof thereto. The at least one clip is configured for engagement about the proximal segment of the shaft. At least one of the inwardly protruding portion or cable body is configured for insertion through the mouth and into the slot to, in conjunction with the engagement of the at least one clip, thereby secure the cable body to the proximal segment of the shaft.
In still another aspect of the present disclosure, the third coupling includes securement of the cable body with the proximal and distal segments of the shaft and a slacked portion of the cable body extending through the articulating portion.
In another aspect of the present disclosure, the third coupling includes a pocket defined within at least one articulating component of the articulating portion. The cable body configured for receipt within the pocket to couple the cable body to the articulating portion of the shaft.
In still yet another aspect of the present disclosure, the fourth coupling includes first and second insulative blocks attached to the first and second electrically conductive plates, respectively, and configured for releasable engagement within the respective first and second structural jaw bodies. The engagement between the first and second insulative blocks and the first and second structural jaw bodies may be made via slot-bar engagements.
In another aspect of the present disclosure, the fourth coupling includes first and second insulative substrates attached to the first and second electrically conductive plates, respectively, each including a plurality of detents configured for releasable engagement within sockets defined within the respective first and second structural jaw bodies.
The robotic surgical instrument may further include a drive system at least partially disposed within the first housing portion. The drive system may include a jaw drive assembly for moving the at least one of the first or second structural jaw bodies between the spaced-apart position and the approximated position and/or an articulation drive assembly for articulating the distal segment of the shaft relative to the proximal segment of the shaft.
A method of assembling a robotic surgical instrument in accordance with the present disclosure includes obtaining first and second portions of a robotic surgical instrument, e.g., according to any of the aspects detailed hereinabove or otherwise herein. The method further includes coupling the first and second portions with one another via at least three of (or, in aspects, all four of): coupling the cable body with the first portion of the housing, coupling the cable body with the proximal segment of the shaft, coupling the cable body with the articulating portion of the shaft, or coupling the first and second electrically conductive plates with the first and second structural jaw bodies, respectively.
Various aspects and features of the present disclosure are described hereinbelow with reference to the drawings wherein like numerals designate identical or corresponding elements in each of the several views.
Referring to
Housing 20 of instrument 10 includes a body portion 22 and a proximal face plate 24 that cooperate to define an enclosure enclosing drive system 100 therein. Proximal face plate 24 includes apertures defined therein through which inputs (not shown) of drive system 100 extend to enable operable connection of those inputs with a robotic arm, e.g., robotic arm 1002 of robotic surgical system 1000 (
Shaft 30 of instrument 10 includes a distal segment 32, a proximal segment 34, and an articulating section 36 disposed between the distal and proximal segments 32, 34, respectively. Articulating section 36 includes one or more articulating components 37, e.g., links, joints, etc. A plurality of articulation cables 38, e.g., four (4) articulation cables, or other suitable actuators, extends through articulating section 36. More specifically, articulation cables 38 are operably coupled to distal segment 32 of shaft 30 at the distal ends thereof and extend proximally from distal segment 32 of shaft 30, through articulating section 36 of shaft 30 and proximal segment 34 of shaft 30, and into housing 20, wherein articulation cables 38 operably couple with an articulation assembly of drive system 100 to enable selective articulation of distal segment 32 (and, thus end effector assembly 40) relative to proximal segment 34 and housing 20, e.g., about at least two axes of articulation (yaw and pitch articulation, for example). Articulation cables 38 are arranged in a generally rectangular configuration, although other suitable configurations are also contemplated.
Continuing with reference to
Longitudinally-extending knife channels (not shown) may be defined through tissue-contacting surfaces 46, 48, respectively, of jaw members 42, 44. In such devices, a knife assembly including a knife support (not shown) extends from housing 20 through shaft 30 to end effector assembly 40 and a knife blade (not shown) disposed within end effector assembly 40 between jaw members 42, 44 is provided to enable cutting of tissue grasped between tissue-contacting surfaces 46, 48 of jaw members 42, 44, respectively. The knife support is operably coupled to a knife drive assembly of drive system 100 at a proximal end portion thereof to enable selective actuation to reciprocate the knife blade between jaw members 42, 44 to cut tissue grasped between tissue-contacting surfaces 46, 48.
A driver (not shown) is operably coupled to cam-slot assembly 52 of end effector assembly 40, e.g., engaged with the cam pin thereof, such that actuation of the driver pivots jaw member 42 relative to jaw member 44 between the spaced-apart and approximated positions. The driver extends proximally from end effector assembly 40 through shaft 30 and into housing 20 wherein the driver is operably coupled with a jaw drive assembly of drive system 100 to enable selective actuation of end effector assembly 40 to grasp tissue therebetween.
Referring still to
As noted above, drive system 100 is disposed within housing 20 and includes an articulation assembly, a knife drive assembly, and a jaw drive assembly. The articulation assembly may be operably coupled to first and second inputs (not shown) extending through proximal face plate 24 of housing 20 to enable coupling with corresponding outputs of the robotic arm, e.g., robotic arm 1002 of robotic surgical system 1000 (
Housing 20 is configured to mount on and operably interface with a robotic surgical system, e.g., system 1000 (
Turning to
Robotic surgical system 1000 generally includes a plurality of robot arms 1002, 1003; a control device 1004; and an operating console 1005 coupled with control device 1004. Operating console 1005 may include a display device 1006, which may be set up in particular to display three-dimensional images; and manual input devices 1007, 1008, by means of which a person, e.g., a surgeon, may be able to telemanipulate robot arms 1002, 1003 in a first operating mode. Robotic surgical system 1000 may be configured for use on a patient 1013 lying on a patient table 1012 to be treated in a minimally invasive manner. Robotic surgical system 1000 may further include a database 1014, coupled to control device 1004, in which are stored, for example, pre-operative data from patient 1013 and/or anatomical atlases.
Each of the robot arms 1002, 1003 may include a plurality of members, which are connected through joints, and a mounted device which may be, for example, a surgical tool “ST.” One or more of the surgical tools “ST” may be instrument 10 (
Robot arms 1002, 1003 may be driven by electric drives, e.g., motors, connected to control device 1004. Control device 1004, e.g., a computer, may be configured to activate the motors, in particular by means of a computer program, in such a way that robot arms 1002, 1003, and, thus, their mounted surgical tools “ST” execute a desired movement and/or function according to a corresponding input from manual input devices 1007, 1008, respectively. Control device 1004 may also be configured in such a way that it regulates the movement of robot arms 1002, 1003 and/or of the motors.
With reference to
Instrument 1310 generally includes a housing 1320, a shaft 1330 extending distally from housing 1320, an end effector assembly 1340 extending distally from shaft 1330, and a drive system 1301 disposed within housing 1320 and operably associated with shaft 1330 and end effector assembly 1340. Shaft 1330 includes a distal segment 1332, a proximal segment 1334, and an articulating section 1336 disposed between the distal and proximal segments 1332, 1334. End effector assembly 1340 includes first and second jaw members 1342, 1344, respectively, each having a structural body 1343, 1345, e.g., including a proximal flange portion and distal body portion, and opposed tissue-contacting surface 1346, 1348 disposed on the distal body portion of the corresponding structural body 1343, 1345. Structural bodies 1343, 1345 pivotably couple jaw members 1342, 1344 to one another and distal segment 1332 of shaft 1330. One of both of structural bodies 1343, 1345 is also operably coupled with the driver to enable pivoting of jaw member 1342 and/or jaw member 1344 between the spaced-apart and approximated positions for grasping tissue between opposed tissue-contacting surface 1346, 1348.
An electrical cable 1360 of instrument 1310 houses lead wires or other electrically conductive components and includes a cable body 1362, distal electrical connectors 1364, 1366, and a proximal electrical plug 1368. Distal electrical connectors 1364, 1366 are electrically coupled to tissue-contacting surfaces 1346, 1348 of jaw members 1342, 1344, respectively, while proximal electrical plug 1368 is configured to connect to an energy source (not shown), e.g., an electrosurgical generator, thus enabling the supply of energy to tissue-contacting surfaces 1346, 1348 to treat, e.g., seal, tissue grasped between tissue-contacting surfaces 1346, 1348. Cable body 1362 extends between and electrically couples distal electrical connectors 1364, 1366 with proximal electrical plug 1368. In some aspects, rather than housing both lead wires or other electrically conductive components in a single cable body 1362, electrical cable 1360 includes two separate cable bodies 1362, each carrying the lead wire or other electrically conductive component for one of the tissue-contacting surfaces 1346, 1348 of jaw members 1342, 1344, respectively. In such configurations, the couplings detailed below may be duplicated as necessary to enable coupling of both cable bodies 1362, e.g., to shaft 1330. Additional cable bodies 1362, distal electrical connectors 1364, 1366, and/or electrical plugs 1368 may be provided for additional functionality, e.g. a cutting electrode of end effector assembly 1340, a sensor associated with end effector assembly 1340, etc.
Instrument 1310 may be configured as a single-use instrument that is discarded after use or sent to a manufacturer for reprocessing; a reusable instrument capable of being cleaned and/or sterilized for repeated use by the end-user; or a partially-single-use, partially-reusable instrument. With respect to partially-single-use, partially-reusable configurations, some portions of instrument 1310 may be configured as cleanable/sterilizable, reusable components, while other components are configured as single-use, disposable/reprocessable components. Whether for the purpose of facilitating cleaning/sterilizing of all components, cleaning/sterilizing of some components and replacement of others, or for other purposes, instrument 1310 is capable of being disassembled into at least first and second portions 1302, 1304, respectively, and re-assembled with the same or replacement portions (or components thereof).
First portion 1302, in aspects, may include a portion 1321a or the entirety of housing 1320 (with portion 1321a at least partially housing drive system 1301), shaft 1330, structural bodies 1343, 1345 of jaw members 1342, 1344, respectively, and the internal operable components extending through housing 1320 and/or shaft 1330, e.g., drive system 1301, the driver (not shown), the knife support and knife blade (not shown), and the articulation cables (not shown). First portion 1302 may be configured as a cleanable/sterilizable reusable portion (with or without some components of first portion 1302 being replaced between uses).
Second portion 1304, in aspects, may include a portion 1321b of housing 1320, electrically conductive tissue-contacting surfaces 1346, 1348 (including, for example, electrically conductive plates 1347, 1349 defining the respective electrically conductive tissue-contacting surfaces 1346, 1348) of jaw members 1342, 1344, respectively, and electrical cable 1360. In some configurations, second portion 1304 further includes insulators and/or other support or attachment structures associated therewith, as detailed below. Second portion 1304 may be configured as a single-use, disposable portion. Alternatively, first and second portions 1302, 1304 may be releasably engagable to enable different types of components to be used, e.g., to enable user-selection of different jaw features, different electrical plugs configurations for different generators, etc., and/or to facilitate cleaning/sterilization for reuse, manufacture, packaging, shipping, storage, etc.
Continuing with reference to
Referring to
Continuing with reference to
In order to engage portions 1321a, 1321b of housing 1320 with one another, portion 1321b is approximated relative to recess 1400 of portion 1321a in generally perpendicular orientation relative to a longitudinal axis “L” defined by housing 1320 and shaft 1330 until portion 1321b is received at least partially within recess 1400 of portion 1321a and snap-fit connector portions 1410, 1420 engage one another, e.g., as confirmed by audible and/or tactile “snaps.” Disengagement of portions 1321a, 1321b is achieved in the opposite manner, e.g., moving portions 1321a, 1321b apart from one another in generally perpendicular orientation relative to the longitudinal axis “L.”
Recess 1400 defined within portion 1321a of housing 1320 may communicate with the interior of portion 1321a that houses at least a portion of drive system 1301 therein, or a floor separating recess 1400 from the interior of portion 1321a and drive system 1301 may be provided. That is, portion 1321b of housing 1320 may define a functional portion of the enclosure housing drive system 1301 therein, or may attach to an exterior of portion 1321a with portion 1321a defining the enclosure housing drive system 1301. In either configuration, with portions 1321a, 1321b engaged with one another, a portion of cable body 1362 (the portion attached to portion 1321b of housing 1320) is retained in position at housing 1320 to avoid interference with the manipulation and/or use of instrument 1310.
With reference to
In order to engage portions 1321a, 1321b of housing 1320 with one another via first coupling 1372c, portion 1321b is first approximated relative to portion 1321a in generally perpendicular orientation relative to the longitudinal axis “L” defined by housing 1320 and shaft 1330 until the keyhole fittings 1620 are received within the relatively large portions of the corresponding keyhole apertures 1610. Thereafter, portion 1321b is approximated relative to portion 1321a in generally parallel orientation relative to the longitudinal axis “L” such that the keyhole fittings 1620 are slid into the relatively small portions of the corresponding keyhole apertures 1610, thereby engaging portions 1321a, 1321b with one another. Disengagement is accomplished in the opposite manner.
As illustrated in
In order to engage clip 1800 with proximal segment 1334 of shaft 1330, clip 1800, led by mouth 1810, is approximated relative to proximal segment 1334 of shaft 1330 transversely relative thereto, e.g., generally perpendicularly relative to the longitudinal axis “L” defined by housing 1320 and shaft 1330, until proximal segment 1334 of shaft 1330 is at least partially received within mouth 1610. Mouth 1610 defines a diameter equal to or smaller than proximal segment 1334 of shaft 1330 such that, upon further transverse urging of clip 1800 relative to shaft 1330, mouth 1610 is expanded to enable proximal segment 1334 of shaft 1330 to enter throat 1820. With proximal segment 1334 of shaft 1330 received within throat 1820, mouth 1810 is retuned towards its initial position to retain clip 1800 in fixed position and engagement about proximal segment 1334 of shaft 1330 with proximal segment 1334 of shaft 1330 extending through throat 1820. Disengagement is accomplished in the opposite manner.
Referring to
In order to engage cable body 1362 within slot 1900, cable body 1362 is urged transversely through mouth 1910, resiliently compressing cable body 1362 and/or resiliently expanding mouth 1910 to enable passage of cable body 1362 through mouth 1910 and into slot 1900. With cable body 1362 engaged within slot 1900 as detailed above, cable body 1362 does not protrude radially outwardly beyond the outer circumference of proximal segment 1334 of shaft 1330 and, thus, does enlarge the outer diameter of proximal segment 1334 of shaft 1330. Due to the close-fit engagement of cable body 1362 within slot 1900, cable body 1362 is retained in fixed position relative to proximal portion 1334 of shaft 1330 substantially along the length of proximal portion 1334 of shaft 1330.
As shown in
In order to engage clip 2000 about proximal segment 1334 of shaft 1330, clip 2000, led by mouth 2010, is approximated relative to proximal segment 1334 of shaft 1330 transversely relative thereto, e.g., generally perpendicularly relative to the longitudinal axis “L” of shaft 1330, until proximal segment 1334 of shaft 1330 passes through mouth 2010 (expanding clip 2000) and into clip 2000 (whereby clip 2000 resiliently returns). Disengagement is accomplished in the opposite manner. In some configurations, one or more annular or partially-annular recesses 2020 may be defined within proximal segment 1334 of shaft 1330 for receipt of clip(s) 2000 therein such that clip(s) 2000 protrudes less or does not protrude radially outwardly beyond the outer circumference of proximal segment 1334 of shaft 1330. Additionally or alternatively, a slot 1900 (
With reference to
Generally referring to
Cable body 1362 may extend alongside articulating section 1336 of shaft 1330 free of direct coupling thereto, thus allowing slack to be taken up or let out as shaft 1330 articulates, or may be coupled to or within articulating section 1336 at one or more locations that enable sliding of cable body 1362 therethrough to allow slack to be taken up or let out as shaft 1330 articulates. With reference to
Pocket 2400 is configured to retain the one or more cable bodies 1362 therein as noted above; however, cavity 2420 defines sufficiently large dimensions relative to the one or more cable bodies 1362 to enable longitudinal, e.g., proximal and distal, sliding of cable bodies 1362 within and relative to cavity 2420 and the articulating component 1337 defining cavity 2420 to enable slack to be taken up or let out of cable bodies 1362 as shaft 1330 articulates. This is in contrast to first and second couplers 1372, 1374 (
Continuing with reference to
Referring to
Insulator blocks 2510, 2520 are configured for receipt within cavities 2530, 2540, respectively, defined within respective structural bodies 1343, 1345. Blocks 2510, 2520 and cavities 2530, 2540 include complementary releasable engagement features, e.g., male and female components, interlocking components, etc., to facilitate releasable engagement of insulator blocks 2510, 5520 within respective structural bodies 1343, 1345. For example, as illustrated in
With reference to
It will be understood that various modifications may be made to the embodiments disclosed herein. Therefore, the above description should not be construed as limiting, but merely as exemplifications of various embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended thereto.
This application claims the benefit of and priority to U.S. Provisional Patent Application No. 63/021,745, filed on May 8, 2020, the entire contents of which are hereby incorporated herein by reference.
Number | Date | Country | |
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63021745 | May 2020 | US |