Electrosurgical device with drum-driven articulation
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61B-017/00
A61B-018/18
A61B-017/28
A61B-034/30
A61B-018/14
출원번호
US-0798551
(2013-03-13)
등록번호
US-10058310
(2018-08-28)
발명자
/ 주소
Parihar, Shailendra K.
출원인 / 주소
Ethicon LLC
대리인 / 주소
Frost Brown Todd LLC
인용정보
피인용 횟수 :
0인용 특허 :
126
초록▼
A surgical device for operating on tissue comprises an end effector, a shaft, and an interface assembly. The shaft comprises an articulation section operable to provide deflection of the end effector relative to the longitudinal axis of the shaft. The interface assembly comprises a plurality of pull
A surgical device for operating on tissue comprises an end effector, a shaft, and an interface assembly. The shaft comprises an articulation section operable to provide deflection of the end effector relative to the longitudinal axis of the shaft. The interface assembly comprises a plurality of pulleys associated with drive shafts driven by an external system. The pulleys are operable to cause rotation of one or both of the shaft or end effector. The pulleys are further operable to cause articulation of the articulation section. The interface assembly further comprises drive components operable to cause movement of components of the end effector.
대표청구항▼
1. An apparatus for operating on tissue, the apparatus comprising: (a) an end effector; (i) a first jaw, and(ii) a second jaw, wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw;(b) an elongate shaft, wherein the elongate shaft defines a longitudi
1. An apparatus for operating on tissue, the apparatus comprising: (a) an end effector; (i) a first jaw, and(ii) a second jaw, wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw;(b) an elongate shaft, wherein the elongate shaft defines a longitudinal axis, wherein the elongate shaft comprises: (i) a distal end, wherein the end effector is positioned at the distal end of the elongate shaft,(ii) a proximal end,(iii) an articulation section, wherein the articulation section is operable to deflect at least part of the end effector away from the longitudinal axis, and(iv) a first pulley, wherein the first pulley is rotatable about the longitudinal axis of the elongate shaft; and(c) an interface assembly associated with the proximal end of the elongate shaft, wherein the interface assembly comprises: (i) a plurality of drive discs, wherein each of the drive discs of the plurality of drive discs is associated with a respective drive shaft,(ii) a second pulley, wherein the second pulley is fixedly secured to a first drive shaft,(iii) a third pulley, wherein the third pulley is rotatably secured with a second drive shaft such that the third pulley is configured to rotate freely relative to the second drive shaft, and(iv) a cable coupling the first pulley with the second pulley and with the third pulley, wherein each of the first, second, and third pulleys are coupled with the cable such that the first pulley, the second pulley, and the third pulley are operable to drive articulation of the elongate shaft or rotation of one or both of the elongate shaft or the end effector about the longitudinal axis of the elongate shaftwherein the first pulley is positioned between the second and third pulleys within the interface assembly,wherein the second drive shaft is operatively connected to the end effector and configured to be selectively rotatably driven to move the first jaw toward the second jaw for clamping tissue therebetween independent of rotation of the third pulley rotatably secured thereon. 2. The apparatus of claim 1, wherein the interface assembly further comprises: (i) a housing, wherein the housing comprises: (A) a first internal thread region,(B) a second internal thread region, wherein the first internal thread region and the second internal thread region comprise threads having different thread directions, and(C) an intermediate region, wherein the intermediate region separates the first internal thread region and the second internal thread region, and wherein the first pulley is rotatably disposed within the intermediate region of the housing,(ii) a first threaded member, wherein the first threaded member is configured to matingly thread into the first internal thread region of the housing, and(iii) a second threaded member, wherein the second threaded member is configured to matingly thread into the second internal thread region of the housing, and wherein the first threaded member and the second threaded member are operable to drive articulation of the end effector. 3. The apparatus of claim 2, wherein the interface assembly further comprises a plurality of pins, wherein the first pulley, the first threaded member, and the second threaded member each comprise a plurality of bores, wherein the pins are disposed within the bores of the first pulley, the first threaded member, and the second threaded member such that each pin is disposed within the first pulley, the first threaded member, and the second threaded member, and wherein the pins are configured to cause the first pulley, the first threaded member, and the second threaded member to rotate together. 4. The apparatus of claim 3, wherein the first threaded member and the second threaded member are configured to translate in opposite directions along the longitudinal axis of the elongate shaft in response to concurrent rotation of the first pulley, the first threaded member, and the second threaded member. 5. The apparatus of claim 4, wherein the shaft assembly further comprises: (i) a first articulation band, wherein the first articulation band is coupled to a first drive member, and wherein the first drive member is configured to translate along an axis parallel to the longitudinal axis of the elongate shaft in response to translation of the first threaded member, and(ii) a second articulation band, wherein the second articulation band is coupled to a second drive member, and wherein the second drive member is configured to translate along an axis parallel to the longitudinal axis of the elongate shaft in response to translation of the second threaded member. 6. The apparatus of claim 5, wherein the first drive member comprises a first notch, wherein the first threaded member is disposed within the first notch, wherein the second drive member comprises a second notch, and wherein the second threaded member is disposed within the second notch. 7. The apparatus of claim 6, wherein the interface assembly further comprises: (i) a spur gear fixedly secured to the second drive shaft such that the third pulley, the spur gear, and the second drive shaft are coaxially aligned, and(ii) a rack, wherein the spur gear meshes with the rack, and wherein the rack is operable to drive the first jaw toward the second jaw. 8. The apparatus of claim 1, wherein the second drive shaft and the third pulley are coaxially aligned. 9. The apparatus of claim 8, wherein the interface assembly further comprises: (i) a spur gear fixedly secured to the second drive shaft such that the third pulley, the spur gear, and the second drive shaft are coaxially aligned, and(ii) a rack, wherein the spur gear meshes with the rack, and wherein the rack is operable to drive the first jaw toward the second jaw. 10. The apparatus of claim 9, wherein at least one of the jaws comprises at least one electrode, wherein the at least one electrode is operable to deliver RF energy to tissue clamped between the first and second jaw. 11. The apparatus of claim 1, wherein the first pulley is fixedly secured to the elongate shaft, wherein the first pulley, the second pulley, and the third pulley are operable to drive rotation of one or both of the elongate shaft or the end effector about the longitudinal axis of the elongate shaft, and wherein the third pulley is an idler pulley. 12. The apparatus of claim 11, wherein the interface assembly further comprises: (i) a fourth pulley, wherein the fourth pulley is fixedly secured to a third drive shaft,(ii) a fifth pulley, wherein the fifth pulley is rotatably secured within a housing, and wherein the fifth pulley is rotatable about the longitudinal axis of the elongate shaft,(iii) a sixth pulley, wherein the sixth pulley is associated with a fourth drive shaft, and(iv) a cable disposed about the fourth pulley, the fifth pulley, and the sixth pulley, and wherein the fourth pulley, the fifth pulley, and the sixth pulley are operable to drive articulation of the articulation section. 13. The apparatus of claim 12, wherein the sixth pulley is fixedly secured to the fourth drive shaft. 14. An apparatus for operating on tissue, the apparatus comprising: (a) an end effector; (i) a first jaw, and(ii) a second jaw, wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw;(b) an elongate shaft, wherein the elongate shaft defines a longitudinal axis, wherein the elongate shaft comprises: (i) a distal end, wherein the end effector is positioned at the distal end of the elongate shaft,(ii) a proximal end, and(iii) a first pulley, wherein the first pulley is fixedly secured to the elongate shaft; and(c) an interface assembly associated with the proximal end of the elongate shaft, wherein the interface assembly comprises: (i) a plurality of drive discs, wherein each of the drive discs of the plurality of drive discs is associated with a respective drive shaft,(ii) a second pulley, wherein the second pulley is fixedly secured to a first drive shaft,(iii) a third pulley, wherein the third pulley is rotatably secured with a second drive shaft such that the third pulley is configured to rotate freely relative to the second drive shaft, and(iv) a cable coupling the first pulley with the second pulley and with the third pulley, wherein each of the first, second, and third pulleys are coupled with the cable such that the first pulley, the second pulley, and the third pulley are operable to drive rotation of one or both of the elongate shaft or the end effector about the longitudinal axis of the elongate shaftwherein the first pulley is positioned between the second pulley and the third pulley within the interface assemblywherein the second drive shaft is operatively connected to the end effector and configured to be selectively rotatably driven to move the first jaw toward the second jaw for clamping tissue therebetween independent of rotation of the third pulley rotatably secured thereon. 15. The apparatus of claim 14, wherein at least one of the jaws comprises at least one electrode, wherein the at least one electrode is operable to deliver RF energy to tissue clamped between the first and second jaw. 16. The apparatus of claim 15, wherein the interface assembly further comprises: (i) a spur gear fixedly secured to the second drive shaft, and(ii) a rack, wherein the spur gear meshes with the rack, and wherein the rack is operable to drive movement of the first jaw toward the second jaw. 17. An apparatus for operating on tissue, the apparatus comprising: (a) an end effector; (i) a first jaw, and(ii) a second jaw, wherein the first jaw is movable toward the second jaw to clamp tissue between the first and second jaw;(b) an elongate shaft, wherein the elongate shaft defines a longitudinal axis, wherein the elongate shaft comprises: (i) a distal end, wherein the end effector is positioned at the distal end of the elongate shaft,(ii) a proximal end, and(iii) an articulation section, wherein the articulation section is operable to deflect at least part of the end effector away from the longitudinal axis;(c) an interface assembly associated with the proximal end of the elongate shaft, wherein the interface assembly comprises: (i) a plurality of drive discs, wherein each of the drive discs of the plurality of drive discs is associated with a respective drive shaft,(ii) a first pulley, wherein the first pulley is fixedly secured to a first drive shaft,(iii) a second pulley, wherein the second pulley is rotatably secured with a second drive shaft such that the second pulley is configured to rotate freely relative to the second drive shaft,(iv) a third pulley,(v) a cable coupling the first pulley with the second pulley and with the third pulley, wherein each of the first, second and third pulleys are coupled with the cable, wherein the second drive shaft is operatively connected to the end effector and configured to be selectively rotatably driven to move the first jaw toward the second jaw for clamping tissue therebetween independent of rotation of the second pulley rotatably secured thereon,(vi) a housing, wherein the housing comprises a first internal thread region, a second internal thread region, and an intermediate region, wherein the first internal thread region and the second internal thread region comprise threads having different thread directions, wherein the intermediate region separates the first internal thread region from the second internal thread region, and wherein the third pulley is rotatably disposed within the intermediate region of the housing;(vii) a first threaded member, wherein the first threaded member is configured to matingly thread into the first internal thread region of the housing; and(viii) a second threaded member, wherein the second threaded member is configured to matingly thread into the second internal thread region of the housing, wherein the first threaded member and the second threaded member are configured to rotate together with the third pulley, and wherein the first threaded member and the second threaded member are operable to drive articulation of the end effector. 18. The apparatus of claim 17, wherein the elongate shaft further comprises: (i) a first articulation band, wherein the first articulation band is coupled to the first drive member, and wherein the first drive member is configured to translate along the longitudinal axis of the elongate shaft in response to translation of the first threaded member, and(ii) a second articulation band, wherein the second articulation band is coupled to a second drive member, and wherein the second drive member is configured to translate along the longitudinal axis of the elongate shaft in response to translation of the second threaded member.
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