A61B34/35

Mechanical wrist joints with enhanced range of motion, and related devices and methods

A wrist joint, such as for a surgical instrument, may include a first disc, a second disc adjacent the first disc, a drive tendon connecting the first disc and the second disc. The first disc and the second disc may include respective opposing gear features that intermesh with one another. The first disc and the second disc may further include opposing load bearing surfaces. In response to tensioning the drive tendon, the first and second discs rotate relative to each other. The first and second discs may have a maximum rotational range of motion greater than about +/−45 degrees relative to each other.

Device and system including mechanical arms
11517378 · 2022-12-06 · ·

A device sized and shaped for insertion into a body comprising: at least one mechanical limb comprising: a support segment; a first flexible section extending from the support segment and terminating in a coupling section; and a second flexible section extending from the coupling section and terminating in a tool or a connector for a tool; wherein a long axis of one or more of the flexible sections is bendable in a single bending plane; wherein a long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis; wherein a long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis.

Device and system including mechanical arms
11517378 · 2022-12-06 · ·

A device sized and shaped for insertion into a body comprising: at least one mechanical limb comprising: a support segment; a first flexible section extending from the support segment and terminating in a coupling section; and a second flexible section extending from the coupling section and terminating in a tool or a connector for a tool; wherein a long axis of one or more of the flexible sections is bendable in a single bending plane; wherein a long axis length of the first flexible section is at least double a maximum extent of the first flexible section perpendicular to a flexible section long axis; wherein a long axis length of the second flexible section is at least double a maximum extent of the second flexible section perpendicular to a flexible section long axis.

Surgical instrument drive element, and related devices, systems, and methods

A surgical instrument includes a shaft having a proximal end and a distal end and end effector coupled to the distal end of the shaft. An electrical transmission conduit extends along the shaft from the proximal end to the distal end and is configured to deliver electrical energy to energize the end effector. A connector assembly electrically couples the electrical transmission conduit to the end effector, and the end effector is pivotably coupled to the connector assembly. In another aspect, a surgical instrument includes a pin, an electrically conductive connector including a contact portion and an attachment, the contact portion surrounding the pin. An electrical conduit is electrically coupled to the attachment of the connector. An electrically conductive jaw including an aperture is pivotable around the contact portion, and the contact portion electrically contacts the jaw at the aperture of the jaw.

Surgical instrument drive element, and related devices, systems, and methods

A surgical instrument includes a shaft having a proximal end and a distal end and end effector coupled to the distal end of the shaft. An electrical transmission conduit extends along the shaft from the proximal end to the distal end and is configured to deliver electrical energy to energize the end effector. A connector assembly electrically couples the electrical transmission conduit to the end effector, and the end effector is pivotably coupled to the connector assembly. In another aspect, a surgical instrument includes a pin, an electrically conductive connector including a contact portion and an attachment, the contact portion surrounding the pin. An electrical conduit is electrically coupled to the attachment of the connector. An electrically conductive jaw including an aperture is pivotable around the contact portion, and the contact portion electrically contacts the jaw at the aperture of the jaw.

Computer-assisted teleoperated surgery systems and methods

A computer-assisted teleoperated surgical system includes one or more manipulator devices and other components. A manipulator device includes a first link, a second link coupled to a distal end of the first link, a third link coupled to the second link, and an instrument actuator coupled to the third link. A joint that couples the second link to the first link defines a yaw axis. A joint that couples the third link to the second link defines a pitch axis. The instrument actuator defines an insertion axis. The yaw, pitch, and insertion axes are fixed in relation to each other and intersect at a remote center of motion. The instrument actuator may insert a surgical instrument along the insertion axis roll and may roll the surgical instrument around the insertion axis. The proximal end of the first link may be coupled to a repositionable setup structure, which may optionally be mechanically grounded to an operating room table. A user control unit includes a processor that acts as a controller, and user inputs at the user control unit teleoperated the manipulator device via the controller.

Computer-assisted teleoperated surgery systems and methods

A computer-assisted teleoperated surgical system includes one or more manipulator devices and other components. A manipulator device includes a first link, a second link coupled to a distal end of the first link, a third link coupled to the second link, and an instrument actuator coupled to the third link. A joint that couples the second link to the first link defines a yaw axis. A joint that couples the third link to the second link defines a pitch axis. The instrument actuator defines an insertion axis. The yaw, pitch, and insertion axes are fixed in relation to each other and intersect at a remote center of motion. The instrument actuator may insert a surgical instrument along the insertion axis roll and may roll the surgical instrument around the insertion axis. The proximal end of the first link may be coupled to a repositionable setup structure, which may optionally be mechanically grounded to an operating room table. A user control unit includes a processor that acts as a controller, and user inputs at the user control unit teleoperated the manipulator device via the controller.

Tensioning mechanism for bipolar pencil
11564732 · 2023-01-31 · ·

An electrode assembly for an electrosurgical instrument includes a housing configured to operably receive a distal end of an electrosurgical instrument shaft, the housing encapsulating an insulative core sandwiched between a pair of return electrodes. The insulative core includes a slot defined about a periphery thereof configured to partially receive an active electrode. The active electrode and the pair of return electrodes are adapted to connect to opposite polarities of an electrosurgical generator. A tensioning mechanism is configured to tension the active electrode about the insulative core during assembly.

SYSTEM FOR CHECKING INSTRUMENT STATE OF A SURGICAL ROBOTIC ARM
20230024362 · 2023-01-26 ·

A surgical robotic system includes: a surgical console having a display and a user input device configured to generate a user input and a surgical robotic arm having a surgical instrument configured to treat tissue and being actuatable in response to the user input; and a video camera configured to capture video data that is displayed on the display. The system also includes a control tower coupled to the surgical console and the surgical robotic arm. The control tower is configured to: process the user input to control the surgical instrument and to record the user input as input data; train a machine learning system using the input data and the video data; and execute the at least one machine learning system to determine probability of failure of the surgical instrument.

SYSTEM FOR CHECKING INSTRUMENT STATE OF A SURGICAL ROBOTIC ARM
20230024362 · 2023-01-26 ·

A surgical robotic system includes: a surgical console having a display and a user input device configured to generate a user input and a surgical robotic arm having a surgical instrument configured to treat tissue and being actuatable in response to the user input; and a video camera configured to capture video data that is displayed on the display. The system also includes a control tower coupled to the surgical console and the surgical robotic arm. The control tower is configured to: process the user input to control the surgical instrument and to record the user input as input data; train a machine learning system using the input data and the video data; and execute the at least one machine learning system to determine probability of failure of the surgical instrument.