Surgical tool with reduced actuation force

Patent metadata

Field	Value
Publication number	US-11819230-B2
Application number	US-202117552681-A
Country	US
Kind code	B2
Filing date	Dec 16, 2021
Priority date	Feb 26, 2021
Publication date	Nov 21, 2023
Grant date	Nov 21, 2023

Abstract

A surgical tool including a housing having a proximal end and a distal end the housing including a guide rail. The tool also includes a yoke slidably coupled to the housing, a handle pivotally coupled to the housing, and a link coupling the handle to the housing, the link having a first end and a second end, the first end of the link rotatably coupled to the handle and the second end of the link rotatably coupled to the yoke and slidable within the guide rail. The tool further includes a yoke pivot pin pivotably coupling the second end of the link to the yoke and a handle pivot pin coupling the link to the handle, wherein the handle pivot pin is disposed proximal compared to the yoke pivot pin.

First claim

What is claimed is:

1. A surgical tool, comprising:
a housing having a proximal end and a distal end, the housing including a guide rail;
a yoke slidably coupled to the housing;
a handle pivotally coupled to the housing, wherein pivoting of the handle towards the proximal end of the housing moves the yoke distally;
a link coupling the handle to the housing, the link having a first end and a second end, the first end of the link rotatably coupled to the handle and the second end of the link rotatably coupled to the yoke and slidable within the guide rail;
a yoke pivot pin pivotably coupling the second end of the link to the yoke; and
a handle pivot pin coupling the link to the handle, wherein the handle pivot pin is disposed proximal compared to the yoke pivot pin.

2. The surgical tool of claim 1 , wherein the guide rail is curved.

3. The surgical tool of claim 2 , wherein the guide rail has a proximal end and a distal end, the proximal end of the guide rail being disposed below the distal end of the guide rail.

4. The surgical tool of claim 1 , wherein the yoke pivot pin is distal to the handle pivot pin.

5. The surgical tool of claim 1 , wherein the handle pivot pin is disposed proximate the proximal end of the housing compared to the yoke pivot pin.

6. The surgical tool of claim 1 , wherein the handle includes a top and a bottom and the handle pivot pin is disposed closer to the bottom of the handle than the yoke pivot pin.

7. The surgical tool of claim 1 , wherein the handle is coupled to the housing at a pivot point and the handle includes a top and a bottom, the handle pivot pin being disposed closer to the bottom of the handle than the pivot point.

8. The surgical tool of claim 1 , wherein the handle is coupled to the housing at a pivot point and the handle includes a top and a bottom, the yoke pivot pin being disposed closer to the bottom of the handle than the pivot point.

9. The surgical tool of claim 1 , wherein the guide rail includes a channel and the yoke pivot pin is disposed through the guide rail such that the yoke pivot pin slides within the channel.

10. The surgical tool of claim 1 , wherein the yoke pivot pin includes a first end and a second end each being tapered.

11. The surgical tool of claim 1 , wherein the yoke pivot pin extends through the yoke, the link, and the guide rail.

12. The surgical tool of claim 1 further comprising:
a guide aperture that extends through the yoke, the guide aperture configured to receive the yoke pivot pin such that the yoke pivot pin is movable within the guide aperture during actuation of the handle.

13. The surgical tool of claim 1 , wherein the yoke pivot pin includes a ring configured to contact the guide rail.

14. The surgical tool of claim 1 , wherein guide rail includes a low-friction coating formed on a region of the guide rail where the yoke pivot pin contacts the guide rail.

15. The surgical tool of claim 1 , wherein the handle has an initial position and an actuated position, the actuated position being when the handle is disposed proximate the proximal end of the housing compared to when the handle is in the initial position.

16. The surgical tool of claim 1 further comprising:
a grasper assembly disposed at a distal end of a shaft, the shaft extending form the distal end of the housing, wherein movement of the handle results in movement of the yoke causing actuation of the grasper assembly.

17. The surgical tool of claim 1 further comprising:
a guide assembly including a motor coupled to the yoke and configured to move the yoke.

18. The surgical tool of claim 1 further comprising:
an elongated shaft extending from the distal end of the housing; and
a grasping instrument disposed on a distal end of the elongated shaft, the grasping instrument coupled to the yoke such that movement of the yoke causes actuation of the grasping instrument.

19. A surgical tool, comprising:
a housing having a proximal end and a distal end, the housing including a guide rail;
a yoke slidably coupled to the housing between the proximal end and the distal end;
a handle pivotally coupled to the housing, wherein pivoting of the handle causes the yoke to move proximally and distally;
a link coupling the handle to the housing, the link having a first end and a second end, the first end of the link rotatably coupled to the handle and the second end of the link rotatably coupled to the housing by a yoke pivot pin, the yoke pivot pin being slidable within the guide rail and coupled to the yoke; and
a handle pivot pin coupling the link to the handle, wherein the handle pivot pin is disposed proximal to the yoke pivot pin,
wherein the guide rail is curved and includes a channel and the pivot pin is disposed through the guide rail such that the pivot pin slides within the channel.

20. A surgical tool, comprising:
a housing having a proximal end and a distal end, the housing including a guide rail, wherein the guide rail is curved;
a yoke slidably coupled to the housing;
a handle pivotally coupled to the housing;
a link coupling the handle to the housing, the link having a first end and a second end, the first end of the link rotatably coupled to the handle and the second end of the link rotatably coupled to the yoke and slidable within the guide rail;
a yoke pivot pin pivotably coupling the second end of the link to the yoke; and
a handle pivot pin coupling the link to the handle, wherein the handle pivot pin is disposed proximal compared to the yoke pivot pin;
wherein the guide rail is curved.

21. The surgical tool of claim 20 , wherein the guide rail has a proximal end and a distal end, the proximal end of the guide rail being disposed below the distal end of the guide rail.

Assignees

• Olympus Medical Systems Corp

Inventors

• Suzuki Tatsuya
• Minami Hiroshi
• Sanai Hideo
• Matsui Shunsuke
• Amano Yuki

Classifications

• A61B17/02 Primary

  for holding wounds open, e.g. retractors; Tractors · CPC title

• A61B17/2909

  Handles · CPC title

• A61B2017/292

  connection of actuating rod to handle, e.g. ball end in recess · CPC title

• A61B2017/293

  with means preventing relative rotation between the shaft and the actuating rod · CPC title

• A61B2017/294

  Connection of actuating rod to jaw, e.g. releasable · CPC title