Robotic surgical system with knife drive mechanism

Patent metadata

Field	Value
Publication number	US-12508045-B2
Application number	US-202318092575-A
Country	US
Kind code	B2
Filing date	Jan 3, 2023
Priority date	Jan 3, 2023
Publication date	Dec 30, 2025
Grant date	Dec 30, 2025

Abstract

An apparatus includes an end effector, a shaft assembly extending proximally from the end effector, an instrument base, and a knife driving assembly. The end effector includes a pair of jaws and a knife member capable of actuating between a proximal and distal position. The knife driving assembly can actuate the knife member between the proximal and distal position. The knife driving assembly includes a cable and a knife drive input assembly coupled only to a first drive input. The knife driven assembly is capable of rotating in first and second angular directions. The cable terminates into a first end and a second end, which are both attached to the knife drive input assembly. A portion of the cable is attached to the knife member. Rotation of the knife drive input assembly in the first angular direction drives the knife member distally. Rotation of the knife drive input assembly in the second angular direction drives the knife member proximally.

First claim

We claim:

1 . An apparatus, comprising:
(a) an end effector, the end effector comprising:
(i) a pair of jaws configured to acuate between an open configuration and a closed configuration, and
(ii) a knife member configured to acuate between a proximal position and a distal position while the pair of jaws are in the closed configuration;
(b) a shaft assembly extending proximally from the end effector; (c) an instrument base attached to the shaft assembly, wherein the instrument base comprises an elongated spline shaft and at least one drive input; and (d) a knife driving assembly configured to actuate the knife member between the proximal position and the distal position, wherein the knife driving assembly comprises:
(i) a knife drive input assembly coupled to only a first drive input of the at least one drive input, wherein the knife drive input assembly is configured to rotate in a first angular direction and a second angular direction,
(ii) a cable terminating into a first end and a second end, wherein both the first end and the second end are attached to the knife drive input assembly, wherein a portion of the cable is attached to the knife member, wherein rotation of the knife drive input assembly in the first angular direction is configured to drive the knife member toward the distal position, wherein rotation of the knife drive input assembly in the second angular direction drives the knife member toward the proximal position.

2 . The apparatus of claim 1 , wherein the knife driving assembly further comprises a distal pulley associated with either the shaft assembly or the end effector, wherein the cable loops around the distal pulley.

3 . The apparatus of claim 2 , wherein the knife drive input assembly comprises a ring gear having a plurality of external teeth.

4 . The apparatus of claim 1 , wherein the knife drive input comprises a dual threaded cable feed assembly.

5 . The apparatus of claim 4 , wherein the dual threaded cable feed assembly further comprises a gear.

6 . The apparatus of claim 4 , wherein the knife drive input comprises a first bevel gear attached to the dual threaded cable feed assembly.

7 . The apparatus of claim 6 , wherein the knife drive input comprises a second bevel gear operatively engaged with the first bevel gear.

8 . The apparatus of claim 6 , wherein the first bevel gear comprises a hollow opening receiving the dual threaded cable feed assembly.

9 . The apparatus of claim 1 , wherein the instrument base comprises a threaded rod.

10 . The apparatus of claim 9 , wherein the threaded rod is configured to drive the shaft assembly relative to the instrument base.

11 . The apparatus of claim 1 , wherein the elongated spline shaft is configured to rotate the knife driving assembly.

12 . The apparatus of claim 11 , wherein the knife driving assembly is slidably attached to the elongated spline shaft.

13 . An apparatus, comprising:
(a) an end effector comprising a knife member configured to acuate between a proximal position and a distal position; (b) a shaft assembly extending proximally from the end effector; (c) an instrument base attached to the shaft assembly, wherein the instrument base comprises at least one drive input; and (d) a knife driving assembly configured to actuate the knife member between the proximal position and the distal position, wherein the knife driving assembly comprises:
(i) a knife drive input assembly coupled to only a first drive input of the at least one drive input, wherein the knife driving assembly comprises:
(A) a ring gear is configured to rotate in a first angular direction and a second angular direction,
(B) a first capstan, and
(C) a second capstan, wherein the first capstan and the second capstan are configured to simultaneously rotate in response to rotation of the ring gear; and

(ii) a cable terminating into a first end and a second end, wherein the first end is attached to the first capstan, wherein the second end is attached to the second capstan, wherein a portion of the cable is attached to the knife member, wherein rotation of the ring gear in the first angular direction is configured to drive the knife member toward the distal position, wherein rotation of the ring gear in the second angular direction drives the knife member toward the proximal position.

14 . The apparatus of claim 13 , wherein the instrument base slidably receives the shaft assembly.

15 . The apparatus of claim 13 , wherein the end effector is configured to articulate relative to the shaft assembly.

16 . The apparatus of claim 13 , wherein the ring gear comprise an inner array of teeth and an outer array of teeth.

17 . An apparatus, comprising:
(a) an end effector, the end effector comprising:
(i) a pair of jaws configured to acuate between an open configuration and a closed configuration, and
(ii) a knife member configured to acuate between a proximal position and a distal position while the pair of jaws are in the closed configuration;
(b) a shaft assembly extending proximally from the end effector; (c) an instrument base attached to the shaft assembly, wherein the instrument base comprises at least one drive input; and (d) a knife driving assembly configured to actuate the knife member between the proximal position and the distal position, wherein the knife driving assembly comprises:
(i) a knife drive input assembly coupled to only a first drive input of the at least one drive input, wherein the knife drive input assembly is configured to rotate in a first angular direction and a second angular direction, and wherein the knife drive input assembly includes a ring gear having a plurality of external teeth,
(ii) a cable terminating into a first end and a second end, wherein both the first end and the second end are attached to the knife drive input assembly, wherein a portion of the cable is attached to the knife member, wherein rotation of the knife drive input assembly in the first angular direction is configured to drive the knife member toward the distal position, wherein rotation of the knife drive input assembly in the second angular direction drives the knife member toward the proximal position.

18 . The apparatus of claim 17 , wherein the knife driving assembly further comprises a distal pulley associated with either the shaft assembly or the end effector, wherein the cable loops around the distal pulley.

19 . The apparatus of claim 18 , wherein ring gear comprise a pair of internal teeth, wherein the knife drive input assembly comprises a first capstan coupled to the first end of the cable and a second capstan coupled to the second end of the cable, wherein the internal teeth are configured to rotate both the first capstan and the second capstan in the same angular direction.

20 . The apparatus of claim 19 , wherein the first capstan comprises a first internal gear, wherein the second capstan comprises a second internal gear.

Assignees

• Cilag Gmbh Int

Inventors

• Bartinelli Jr William S
• Stone Matthew T
• Dickerson Benjamin D

Classifications

• B66D1/7489

  having a particular use, e.g. rope ascenders · CPC title

• B66D1/7405 Primary

  having two or more drums providing tractive force · CPC title

• B66D1/7484

  Details concerning gearing arrangements, e.g. multi-speed · CPC title

• A61B34/37

  Leader-follower robots (A61B34/35 takes precedence) · CPC title

• A61B2034/301

  for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes · CPC title