公开(公告)号：US20140296869A1

公开(公告)日：2014-10-02

申请号：US14206821

申请日：2014-03-12

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Nicole KERNBAUM ,  Samuel T. CREWS ,  Harsukhdeep Singh RATIA

IPC: A61B19/00 ,  B29D23/00

CPC classification number: A61B34/35 ,  A61B1/05 ,  A61B17/2841 ,  A61B34/30 ,  A61B34/37 ,  A61B34/71 ,  A61B2017/2901 ,  A61B2217/007 ,  B29C48/09 ,  B29C48/21

Abstract: A surgical instrument may include a shaft, a force transmission mechanism, and an end effector. The shaft may have a proximal end and a distal end. The force transmission mechanism may be coupled to the proximal end of the shaft. The end effector may be coupled to the distal end of the shaft. The shaft may include a body having an outer surface and an inner surface. The inner surface may surround a lumen configured to receive a drive member that extends through the lumen. The outer surface of the body may form an outer surface of the shaft. The body may be made of a single material from the inner surface of the body to the outer surface of the body.

Abstract translation: 外科器械可以包括轴，力传递机构和末端执行器。 轴可以具有近端和远端。 力传递机构可以联接到轴的近端。 端部执行器可以联接到轴的远端。 轴可以包括具有外表面和内表面的主体。 内表面可以围绕被配置为接收延伸穿过内腔的驱动构件的内腔。 主体的外表面可以形成轴的外表面。 身体可以由从身体的内表面到身体的外表面的单一材料制成。

公开(公告)号：US20220287699A1

公开(公告)日：2022-09-15

申请号：US17828441

申请日：2022-05-31

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Samuel T. CREWS ,  Nicole KERNBAUM ,  Lawrence KERVER ,  Harsukhdeep Singh RATIA

IPC: A61B17/00 ,  A61B34/30 ,  A61B90/70

Abstract: A surgical instrument includes a shaft, a force transmission mechanism disposed at a first end of the shaft, an end effector disposed at a second end of the shaft, an actuation element that extends along the shaft from the force transmission mechanism to the end effector, and an actuation element guide extending along the shaft. The actuation element guide defines a lumen in which the actuation element guide is received. The actuation element guide is compressed into a pre-compressed state along at least a portion of an axial length of the shaft. The actuation element guide can be compressed between first and second blocks of the instrument. The instrument can include a flush tube configured to receive a cleaning fluid, with the actuation element guide being in flow communication with the flush tube to receive the cleaning fluid in the lumen of the actuation element guide.

公开(公告)号：US20210022819A1

公开(公告)日：2021-01-28

申请号：US17045679

申请日：2019-04-09

Applicant: Intuitive Surgical Operations, Inc.

Inventor： Grant DUQUE ,  Lawrence KERVER ,  David I. MOREIRA RIDSDALE ,  Harsukhdeep Singh RATIA ,  Joseph P. ORBAN, III ,  Zhou YE

IPC: A61B34/00 ,  A61B18/14 ,  A61B34/35

Abstract: An articulable medical device includes a link, a transfer member, a tool member, and a non-drive wire. The tool member has a base portion movably coupled to the transfer member, and a contact portion configured to engage a target tissue. The transfer member is rotatably coupled to the link to rotate with the tool member relative to the link from a first orientation to a second orientation. The non-drive wire has a first end portion coupled to an energy source, a second end portion coupled to the tool member contact portion, and a central portion between the first and second end portions that includes a transition portion disposed within a cavity defined within the base portion of the tool member, a distal portion of the link, or the transfer member, which has a compact first configuration in the first orientation and an expanded second configuration in the second orientation.

公开(公告)号：US20220280254A1

公开(公告)日：2022-09-08

申请号：US17708544

申请日：2022-03-30

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Samuel T. CREWS ,  Harsukhdeep Singh RATIA ,  Nicole KERNBAUM

IPC: A61B34/00 ,  A61B34/35 ,  A61B17/128 ,  A61B17/29

Abstract: A force transmission mechanism for a teleoperated surgical instrument includes a drive pulley, a drive cable operably coupled with the drive pulley, a driven pulley operably coupled with the drive cable, and an actuation member operably coupled to the driven pulley. The actuation member is configured to transmit force to actuate an end effector of the surgical instrument. Rotational motion of the driven pulley causes translational movement of the actuation element to actuate the end effector. Methods relate to operating a force transmission mechanism.

公开(公告)号：US20190069967A1

公开(公告)日：2019-03-07

申请号：US16083150

申请日：2017-03-08

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Samuel T. CREWS ,  Harsukhdeep Singh RATIA ,  Nicole KERNBAUM

IPC: A61B34/00 ,  A61B17/128 ,  A61B17/29 ,  A61B34/35

Abstract: A force transmission mechanism for a teleoperated surgical instrument includes a drive pulley, a drive cable operably coupled with the drive pulley, a driven pulley operably coupled with the drive cable, and an actuation member operably coupled to the driven pulley. The actuation member is configured to transmit force to actuate an end effector of the surgical instrument. Rotational motion of the driven pulley causes translational movement of the actuation element to actuate the end effector. Methods relate to operating a force transmission mechanism.

公开(公告)号：US20170172677A1

公开(公告)日：2017-06-22

申请号：US15391040

申请日：2016-12-27

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Nicole KERNBAUM ,  Samuel T. CREWS ,  Harsukhdeep Singh RATIA

IPC: A61B34/35 ,  A61B34/00 ,  A61B1/05 ,  A61B17/28 ,  A61B34/37

Abstract: A surgical instrument may include a shaft, a force transmission mechanism, and an end effector. The shaft may have a proximal end and a distal end. The force transmission mechanism may be coupled to the proximal end of the shaft. The end effector may be coupled to the distal end of the shaft. The shaft may include a body having an outer surface and an inner surface. The inner surface may surround a lumen configured to receive a drive member that extends through the lumen. The outer surface of the body may form an outer surface of the shaft. The body may be made of a single material from the inner surface of the body to the outer surface of the body.

公开(公告)号：US20240358468A1

公开(公告)日：2024-10-31

申请号：US18767482

申请日：2024-07-09

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Angelica RUSZKOWSKI ,  Gabriel F. BRISSON ,  Craig R. GERBI ,  Jason HEMPHILL ,  Mathew NUSSBAUM ,  Harsukhdeep Singh RATIA

IPC: A61B90/00 ,  A61B18/00 ,  A61B18/08 ,  A61B18/14

CPC classification number: A61B90/03 ,  A61B18/085 ,  A61B18/1445 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00678 ,  A61B2018/00875 ,  A61B2090/031 ,  A61B2090/066

Abstract: Systems and methods for grip adjustment during energy delivery include an instrument comprising an end effector having a first jaw and a second jaw. Each of the first jaw and the second jaw have a corresponding electrode. One or more control units are configured to operate the first and second jaws in a first mode subject to a first force or torque limit to grip a material; and in response to determining that the first and second jaws are being operated in the first mode, switch to operating the first and seconds jaw in a second mode before applying electrical or thermal energy to the material using the corresponding electrodes. The operating in the second mode is subject to a second force or torque limit, lower than the first force or torque limit, that can be applied by the first and second jaws to grip the material.

公开(公告)号：US20230355339A1

公开(公告)日：2023-11-09

申请号：US18356752

申请日：2023-07-21

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Samuel T. CREWS ,  Harsukhdeep Singh RATIA ,  Nicole KERNBAUM

IPC: A61B17/128 ,  A61B17/29 ,  A61B34/35 ,  A61B34/00

CPC classification number: A61B34/71 ,  A61B17/1285 ,  A61B17/29 ,  A61B34/35 ,  A61B2017/2936 ,  A61B2034/301

Abstract: An instrument includes a movable end effector component coupled to a shaft; a force transmission mechanism; and an actuation mechanism coupled to the force transmission mechanism and the end effector, the actuation mechanism comprising a first actuation member segment and a second actuation member segment. The force transmission mechanism comprises: a first pulley coupled to a rotatable drive input and having a first axis of rotation, and a second pulley having a second axis of rotation non-parallel to the first axis of rotation of the first pulley. The first actuation member segment is routed over the first pulley. In response to rotation of the rotatable drive input, at least a portion of the first actuation member segment is wound onto the first pulley and unwound from the second pulley, and the second actuation member segment is translated along the shaft to actuate the movable end effector component.

公开(公告)号：US20230020577A1

公开(公告)日：2023-01-19

申请号：US17787232

申请日：2021-01-06

Applicant: INTUITIVE SURGICAL OPERATIONS, INC.

Inventor： Lawrence KERVER ,  Michael Blair HURST ,  Harsukhdeep Singh RATIA ,  Craig GERBI

IPC: A61B17/128 ,  A61B34/35 ,  A61B17/122

Abstract: A surgical instrument for applying surgical clips to tissue comprises an end effector having first and second jaws that are movable between open and closed positions and configured to receive first and second rows of clips in the open position. The instrument further includes an actuator coupled to the end effector and configured to move the jaws into the closed position and to discharge the first and second rows of clips. This allows an operator to apply multiple rows of clips to tissue with a single instrument insertion, which obviates the need to remove the surgical instrument from the cannula to manually reload a new cartridge, thereby reducing the overall time of the surgical procedure.