Control interface for laparoscopic suturing instrument

Patent metadata

Field	Value
Publication number	US-9814457-B2
Application number	US-201213443101-A
Country	US
Kind code	B2
Filing date	Apr 10, 2012
Priority date	Apr 10, 2012
Publication date	Nov 14, 2017
Grant date	Nov 14, 2017

Abstract

An apparatus comprises an end effector, a shaft assembly, and a drive assembly. The end effector comprises needle receiving arms operable to grasp a needle. The drive assembly comprises drive members that are rotatable about respective drive axes that are perpendicular to the axis of the shaft assembly. The drive assembly is operable to drive the needle receiving arms to selectively engage and disengage the needle; and to selectively pass the needle from one needle receiving arm to the other needle receiving arm. The drive assembly provides an interface to a controller that is operable via a remote user interface. The drive assembly may include helical gears, clutch assemblies, a rack and pinion, or other components to convert motion of the drive members into motion at the end effector.

First claim

We claim:

1. An apparatus comprising:
(a) an end effector, comprising:
(i) a first needle receiving arm, wherein the first needle receiving arm is operable to selectively engage and disengage a needle, wherein at least part of the first needle receiving arm extends along a first arm axis, wherein the first needle receiving arm is operable to rotate about the first arm axis, and
(ii) a second needle receiving arm, wherein the second needle receiving arm is operable to selectively engage and disengage a needle, wherein at least part of the second needle receiving arm extends along a second arm axis;

(b) a shaft assembly, wherein the shaft assembly has a distal end and a proximal end, wherein the end effector is located at the distal end of the shaft assembly, wherein the shaft assembly defines a shaft axis, wherein the first arm axis and the second arm axis extend parallel to the shaft axis, wherein the shaft assembly comprises:
(i) a first shaft associated with the first needle receiving arm, wherein the first shaft is rotatable about the first arm axis to cause the first needle receiving arm to selectively engage and disengage a needle, and
(ii) a second shaft associated with the second needle receiving arm, wherein the second shaft is rotatable about the second arm axis to cause the second needle receiving arm to selectively engage and disengage a needle; and

(c) a drive assembly, wherein the drive assembly is located at the proximal end of the shaft assembly, wherein the drive assembly comprises:
(i) a first rotary drive shaft operable to drive the first needle receiving arm to selectively engage and disengage a needle, wherein the first rotary drive shaft is rotatable about a first drive axis that is perpendicular to the shaft axis,
(ii) a second rotary drive shaft operable to drive the second needle receiving arm to selectively engage and disengage a needle, wherein the second rotary drive shaft is rotatable about a second drive axis that is perpendicular to the shaft axis,
(iii) a third rotary drive shaft operable to rotate the first needle receiving arm about the first arm axis, wherein the third rotary drive shaft is rotatable about a third drive axis,
(iv) a base, wherein the first drive axis, the second drive axis, and the third drive axis extend through the base at respective fixed positions relative to the base,
(v) a first ring gear operable to rotate in response to rotation of the first rotary drive shaft about the first drive axis, wherein the first ring gear encompasses a proximal portion of the first shaft and engages the first shaft to drive the first shaft, wherein the first ring gear is rotatable about the shaft axis, and
(vi) a second ring gear operable to rotate in response to rotation of the second rotary drive shaft about the second drive axis, wherein the second ring gear encompasses a proximal portion of the first shaft and the second shaft, wherein the second ring gear engages the second shaft to drive the second shaft, wherein the first shaft is freely rotatable relative to the second ring gear.

2. The apparatus of claim 1 , wherein the first arm axis is parallel to the shaft axis.

3. The apparatus of claim 1 , wherein the third rotary drive shaft is perpendicular to the shaft axis.

4. The apparatus of claim 1 , wherein the shaft assembly further comprises a third shaft associated with the first needle receiving arm, wherein the third shaft is operable to rotate the first needle receiving arm about the first arm axis.

5. The apparatus of claim 4 , wherein the drive assembly further comprises a gear secured to a proximal portion of the third shaft, wherein the drive assembly is operable to convert rotation of the third rotary drive shaft about the third drive axis into rotation of the gear about the first arm axis.

6. The apparatus of claim 4 , wherein the first shaft is coaxially positioned within the third shaft.

7. The apparatus of claim 1 , wherein the first shaft and the second shaft are parallel to each other.

8. An apparatus comprising:
(a) a shaft, wherein the shaft has a distal end and a proximal end;
(b) an end effector located at the distal end of the shaft;
(c) a shaft assembly coupled to the end effector and extending through the shaft to the proximal end of the shaft, wherein the shaft assembly comprises:
(i) an inner drive shaft,
(ii) an outer drive shaft, and
(iii) an adjacent drive shaft, wherein the inner drive shaft is disposed within an interior of the outer drive shaft, wherein the inner drive shaft and the outer drive shaft are each independently movable relative to one another and to the shaft, wherein the adjacent drive shaft is parallel to the outer drive shaft; and

(d) a drive assembly, wherein the drive assembly is located at the proximal end of the shaft assembly, wherein the adjacent drive shaft, the inner drive shaft, and the outer drive shaft extend from the drive assembly to the end effector, wherein the drive assembly comprises:
(i) a first rotary drive shaft operable to drive the inner drive shaft, wherein the first rotary drive shaft is rotatable about a first drive axis that is perpendicular to the shaft axis,
(ii) a second rotary drive shaft operable to drive the adjacent shaft, wherein the second rotary drive shaft is rotatable about a second drive axis that is perpendicular to the shaft axis, and
(iii) a clutch assembly housing a proximal end of the outer shaft, wherein the clutch assembly is operable to selectively couple the inner drive shaft with the outer drive shaft, such that the inner drive shaft is rotatable relative to the outer drive shaft when the clutch assembly is in a decoupled configuration and such that the inner drive shaft is operable to drive the outer drive shaft when the clutch assembly is in a coupled configuration,
wherein the first rotary drive shaft and the second rotary drive shaft are in fixed positions such that the first drive axis and the second drive axis are separated from each other by a fixed distance.

Assignees

• Martin David T
• Woodard Jr James A
• Ethicon Llc

Inventors

• Martin David T
• Woodard Jr James A

Classifications

• A61B2017/00477

  Coupling (A61B2017/0046 takes precedence) · CPC title

• A61B17/0491

  Sewing machines for surgery · CPC title

• A61B17/0625

  the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator (A61B17/06109 takes precedence) · CPC title

• A61B2034/302

  specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities · CPC title

• A61B17/0469 Primary

  Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery · CPC title