Surgical instrument, steering gear thereof, and method of regulating the position of a steering ring of the steering gear

Patent metadata

Field	Value
Publication number	US-12396744-B2
Application number	US-202217869900-A
Country	US
Kind code	B2
Filing date	Jul 21, 2022
Priority date	Jul 28, 2021
Publication date	Aug 26, 2025
Grant date	Aug 26, 2025

Abstract

An exemplary embodiment provides a steering gear ( 13 ) for a surgical instrument ( 1 ), which can be arranged at the proximal end ( 3 ) of a shaft ( 2 ) that defines a longitudinal axis (B) and has a bending mechanism ( 9 ) at the distal end ( 5 ). The steering gear ( 13 ) has two controllable and adjustable motorised drives and is designed to transfer the adjustment angles of the two controllable and adjustable motorised drives to a spatial alignment of a swash plate ( 14 ) which is designed to control the distal bending mechanism ( 9 ) of the surgical instrument ( 1 ). The swash plate ( 14 ) is arranged in a steering ring ( 19 ), and each of the two controllable and adjustable motorised drives has a drive shaft ( 17 a, 17 b ) driven by a motor ( 17, 17 ′), each of which is connected to the steering ring ( 19 ) directly and operatively connected via a force transmitter ( 16, 16 ′), wherein the two force transmitters ( 16, 16 ′) which are arranged on the drive shafts ( 17 a, 17 b ) each define a drive axis (C, C′), directly contacting the steering ring ( 19 ) at an effective section (W). The steering ring ( 19 ) is cardanically suspended on a fastening device which has position sensors ( 23, 24, 25 ) on its cardan axes. Furthermore, a surgical instrument ( 1 ) with a steering gear ( 13 ) and a method for controlling the position of a steering ring ( 19 ) of a steering gear ( 13 ) are disclosed.

First claim

The invention claimed is:

1. A steering gear for a surgical instrument, which can be arranged at the proximal end of a shaft that defines a longitudinal axis and has a bending mechanism at the distal end,
wherein the steering gear has two controllable and adjustable motorised drives and is designed to transfer the adjustment angles of the two controllable and adjustable motorised drives to a spatial alignment of a swash plate which is designed to control the distal bending mechanism of the surgical instrument, wherein
the swash plate is arranged in a steering ring, wherein
the first of the two controllable and adjustable motorised drives has a first drive shaft driven by a first motor, which is directly and operatively connected to the steering ring via a first force transmitter, wherein the first force transmitter directly contacts the steering ring at an effective section, wherein the first power transmitter is disposed on the first drive shaft defining a first drive axis, and
the second of the two controllable and adjustable motorised drives has a second drive shaft driven by a second motor, which is directly and operatively connected to the steering ring via a second force transmitter, wherein the second force transmitter directly contacts the steering ring at the effective section, wherein the second force transmitter is disposed on the second drive shaft defining a second drive axis, wherein
the steering ring is cardanically suspended on a fastening device, and wherein the fastening device has position sensors on its cardan axes.

2. The steering gear according to claim 1 , wherein
the fastening device has a housing and a bracket, the bracket being arranged on the side of the steering which faces away from the effective section and is mounted on both ends on the housing by means of bearing pins and has a receiving opening in the middle,
wherein the steering ring is rotatably mounted in the receiving opening about the axis of rotation.

3. The steering gear according to claim 1 , wherein
the position sensors are angle sensors or 3D hall sensors.

4. The steering gear according to claim 2 , wherein
the housing has a base with passage openings for the drive axes, and wherein
the steering gear has a multi-part magnetic sensor, one part of which is arranged between the passage openings in the base and the second part of which is suspended above the first part in the steering ring.

5. The steering gear according to claim 4 , wherein
the first part of the multi-part magnetic sensor is a 3D hall sensor, and the second part is a bar magnet which is arranged in a recess of the steering ring.

6. The steering gear according to claim 1 , wherein
the motors each have a motor regulation and control unit, a motor gear, a rotary encoder connected to each drive shaft and preferably a slipping coupling.

7. A surgical instrument having a shaft, an actuation unit arranged at the proximal end of the shaft and a tool arranged at the distal end of the shaft with a has a tool tip that can be bent by means of a distal bending mechanism and can be controlled by a swash plate that can be spatially aligned by means of two controllable and adjustable drives, wherein
the surgical instrument has a steering gear according to claim 1 for the spatial alignment of the swash plate.

8. The surgical instrument according to claim 7 , wherein
the surgical instrument is operatively coupled to a regulation and control unit.

9. A method for controlling the position of a steering ring of a steering gear according to claim 1 and in a surgical instrument, wherein
transmitting predetermined target values of drive angles in relation to an angular position and/or rotation of the drive shafts of the controllable and adjustable motorised drives to the motor regulation and control unit of each motor and bringing the drive shaft into rotation,
simultaneously generating a signal in the rotary encoder by rotating the drive shafts, wherein the signal from the rotary encoder is fed back to the motor regulation and control unit,
starting the steering gear and moving the steering ring in the steering gear by rotating the drive shaft,
thereby detecting the deflection of the steering gear by detecting the solid angle values of the steering ring using the position sensors and transmitting the detected solid angle values to the motor regulation and control unit,
by means of the motor regulation and control unit converting the detected solid angle values of the steering ring into actual values of the drive angle,
by means of the motor regulation and control unit comparing target and actual values of the drive angles and, if the values differ from one another, depending on the deviation of the target and actual values of the drive angles, correcting the angular position and/or rotation of the drive shafts.

Assignees

• Storz Karl Se & Co Kg

Inventors

• Stefan Jochen

Classifications

• A61B34/70

  Manipulators specially adapted for use in surgery · CPC title

• A61B2017/00314

  Separate linked members · CPC title

• A61B2017/291

  the position of the handle being adjustable with respect to the shaft · CPC title

• A61B2034/306

  Wrists with multiple vertebrae · CPC title

• A61B34/35

  for telesurgery · CPC title