ROBOTIC SURGICAL SYSTEMS AND INSTRUMENT DRIVE UNITS
20170265951 · 2017-09-21
Assignee
Inventors
- Simon R. Grover (Cambridge, Cambridgeshire, GB)
- Charles F. Kilby (Cambridgeshire, GB)
- Daniel L. Fuller (Haverhill, Suffolk, GB)
Cpc classification
A61B2017/00199
HUMAN NECESSITIES
A61B46/10
HUMAN NECESSITIES
A61B2017/00225
HUMAN NECESSITIES
A61B2090/064
HUMAN NECESSITIES
A61B2017/00398
HUMAN NECESSITIES
International classification
A61B34/00
HUMAN NECESSITIES
Abstract
An instrument control unit for use with a surgical instrument, is provided. The instrument control unit comprises first and second plates, first and second lead screws, first and second yokes, and first and second motors. The first and second plates define a sleeve therebetween. Each of the first and second lead screws is disposed between the first and second plates. Each of the first and second yokes is threadedly engaged with its respective lead screw. The motors are disposed in mechanical cooperation with respective lead screws. Actuation of the motors causes rotation of its respective lead screw, which results in movement of its respective yoke along the longitudinal axis, and which is configured to effect a first function of a surgical instrument engaged with the instrument control unit.
Claims
1. An instrument control unit for use with a surgical instrument, the instrument control unit comprising: a first plate; a second plate disposed in spaced relation from the first plate, the first plate and the second plate defining a sleeve therebetween, the sleeve configured to accept a surgical instrument at least partially therein, the sleeve defining a longitudinal axis; a first lead screw disposed between the first plate and the second plate; a second lead screw disposed between the first plate and the second plate; a first yoke threadedly engaged with the first lead screw; a second yoke threadedly engaged with the second lead screw; a first motor disposed in mechanical cooperation with the first lead screw such that actuation of the first motor causes rotation of the first lead screw, which results in movement of the first yoke along the longitudinal axis, and wherein movement of the first yoke along the longitudinal axis is configured to effect a first function of a surgical instrument engaged with the instrument control unit; and a second motor disposed in mechanical cooperation with the second lead screw such that actuation of the second motor causes rotation of the second lead screw, which results in movement of the second yoke along the longitudinal axis, and wherein movement of the second yoke along the longitudinal axis is configured to effect a second function of a surgical instrument engaged with the instrument control unit.
2. The instrument control unit according to claim 1, wherein the first plate includes an arcuate portion and the second plate includes an arcuate portion, wherein the sleeve is defined between the arcuate portion of the first plate and the arcuate portion of the second plate.
3. The instrument control unit according to claim 1, wherein each of the first yoke and the second yoke is arcuate.
4. The instrument control unit according to claim 1, further comprising a third lead screw disposed between the first plate and the second plate, a third yoke threadedly engaged with the third lead screw, and a third motor disposed in mechanical cooperation with the third lead screw such that actuation of the third motor causes rotation of the third lead screw, which results in movement of the third yoke along the longitudinal axis, and wherein movement of the third yoke along the longitudinal axis is configured to effect a third function of a surgical instrument engaged with the instrument control unit.
5. The instrument control unit according to claim 4, further comprising a fourth lead screw disposed between the first plate and the second plate, a fourth yoke threadedly engaged with the fourth lead screw, and a fourth motor disposed in mechanical cooperation with the fourth lead screw such that actuation of the fourth motor causes rotation of the fourth lead screw, which results in movement of the fourth yoke along the longitudinal axis, and wherein movement of the fourth yoke along the longitudinal axis is configured to effect a fourth function of a surgical instrument engaged with the instrument control unit.
6. The instrument control unit according to claim 5, further comprising a first interface gear and a fifth motor disposed in mechanical communication with the first interface gear, wherein actuation of the fifth motor results in rotation of the first interface gear, which is configured to effect a fifth function of a surgical instrument engaged with the instrument control unit.
7. The instrument control unit according to claim 6, further comprising a second interface gear and a sixth motor disposed in mechanical communication with the second interface gear, wherein actuation of the sixth motor results in rotation of the second interface gear, which is configured to effect a sixth function of a surgical instrument engaged with the instrument control unit.
8. The instrument control unit according to claim 5, wherein at least a majority of each of the first motor, the second motor, the third motor, and the fourth motor is disposed between the first plate and the second plate.
9. The instrument control unit according to claim 5, wherein each of the first motor, the second motor, the third motor, and the fourth motor includes a shaft that extends through at least one of the first plate and the second plate.
10. The instrument control unit according to claim 1, wherein each of the first plate and the second plate includes two portions that are hingedly connected to each other, and wherein each of the first plate and the second plate is configured to move between an open position to accept a surgical instrument at least partially within the sleeve, and a closed position to surround a diameter of a surgical instrument.
11. The instrument control unit of claim 1, further comprising a control device configured to remotely control actuation of the first motor and the second motor.
12. The instrument control unit of claim 1, further comprising a drape essentially enclosing the first plate, the second plate, the first lead screw, the second lead screw, the first motor and the second motor, while permitting longitudinal movement of the first yoke and the second yoke to be transferred to a portion of a surgical instrument engaged with the instrument control unit.
13. The instrument control unit of claim 12, further comprising a first interface collar and a second interface collar, the first interface collar configured to mechanically engage the first yoke and a portion of a surgical instrument engaged with the instrument control unit, the second interface collar configured to mechanically engage the second yoke and a portion of a surgical instrument engaged with the instrument control unit, and wherein the drape is secured to the first interface collar and the second interface collar.
14. A robotic surgical system, comprising: an instrument control unit including: a first plate; a second plate disposed in spaced relation from the first plate, the first plate and the second plate defining a sleeve therebetween, the sleeve defining a longitudinal axis; a first lead screw disposed between the first plate and the second plate; a first yoke threadedly engaged with the first lead screw; and a first motor disposed in mechanical cooperation with the first lead screw such that actuation of the first motor causes rotation of the first lead screw, which results in movement of the first yoke along the longitudinal axis; a control device disposed in communication with the instrument control unit and configured to remotely control actuation of the first motor; and a surgical instrument configured for engagement with the instrument control unit; wherein movement of the first yoke along the longitudinal axis is configured to effect a first function of the surgical instrument engaged with the instrument control unit.
15. The robotic surgical system according to claim 14, wherein the instrument control unit further comprising a second lead screw disposed between the first plate and the second plate, a second yoke threadedly engaged with the second lead screw, and a second motor disposed in mechanical cooperation with the second lead screw such that actuation of the second motor by the control device causes rotation of the second lead screw, which results in movement of the second yoke along the longitudinal axis, and wherein movement of the second yoke along the longitudinal axis is configured to effect a second function of the surgical instrument engaged with the instrument control unit.
16. The robotic surgical system according to claim 15, wherein each of the first motor, and the second motor includes a shaft that extends through at least one of the first plate and the second plate.
17. The robotic surgical system according to claim 14, further comprising a drape essentially enclosing the first plate, the second plate, the first lead screw and the first motor, while permitting longitudinal movement of the first yoke to be transferred to a portion of the surgical instrument engaged with the instrument control unit.
18. The robotic surgical system according to claim 17, wherein the instrument control unit includes a first interface collar configured to mechanically engage the first yoke and a portion of the surgical instrument engaged with the instrument control unit, and wherein the drape is secured to the first interface collar.
19. The robotic surgical system according to claim 18, wherein the surgical instrument includes a first bearing configured to mechanically engage the first interface collar.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0020] Embodiments of the present disclosure are described herein with reference to the accompanying drawings, wherein:
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DETAILED DESCRIPTION
[0036] Embodiments of the presently disclosed instrument drive units are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views. As used herein the term “distal” refers to that portion of the instrument drive unit that is farther from the user, while the term “proximal” refers to that portion of the instrument drive unit that is closer to the user.
[0037] Referring initially to
[0038] Each of the robot arms 2, 3 includes a plurality of members, which are connected through joints, and an instrument drive unit 100, to which may be attached, for example, a surgical instrument 10 supporting an end effector 20, in accordance with any one of several embodiments of instrument drive units 100 disclosed herein, as will be described in greater detail below.
[0039] Robot arms 2, 3 may be driven by electric drives (not shown) that are connected to control device 4. Control device 4 (e.g., a computer) is set up to activate the drives, in particular by means of a computer program, in such a way that robot arms 2, 3, instrument drive units 100, and thus the surgical instruments 10 execute a desired movement according to a movement defined by means of manual input devices 7, 8. Control device 4 may also be set up in such a way that it regulates the movement of robot arms 2, 3 and/or of the drives.
[0040] Medical work station 1 is configured for use on a patient 13 lying on a patient table 12 to be treated in a minimally invasive manner by means of surgical instrument 10. Medical work station 1 may also include more than two robot arms 2, 3, the additional robot arms likewise being connected to control device 4 and being telemanipulatable by means of operating console 5. An instrument control unit and a surgical instrument may also be attached to the additional robot arm. Medical work station 1 may include a database 14, in particular coupled to with control device 4, in which are stored for example pre-operative data from patient 13 and/or anatomical atlases.
[0041] Reference may be made to U.S. Patent Publication No. 2012/0116416, filed on Nov. 3, 2011, entitled “Medical Workstation,” the entire content of which is incorporated herein by reference, for a detailed discussion of the construction and operation of medical work station 1.
[0042] Control device 4 may control a plurality of motors (e.g., “M1”-“M6”). Motors may be part of instrument control unit 100 and/or disposed externally of instrument control unit 100. For example, it is envisioned that motors “M1”-“M5” are located within instrument control unit 100 (see
[0043] Turning now to
[0044] In each of the embodiments, instrument control unit 100 includes a first plate 110, a second plate 120, a plurality of connectors 130, a plurality of motors “M,” a plurality of gears 140, 150 (see
[0045] Connectors 130 extend between and interconnect first plate 110 and second plate 120. Each motor “M” includes a shaft “MS” that extends through an opening 111 in first plate 110 or an opening 121 in second plate 120 (see instrument control unit 100b of
[0046] In use, each motor “M” may receive a signal from control device 4, as discussed above, to rotate in a first direction or a second direction, to control a function of surgical instrument 10. With particular reference to
[0047] It is envisioned that lead screws 160 are designed to allow only a certain amount of longitudinal movement of corresponding yokes 170 (e.g., between about 0.25 inches and about 1.0 inches). It is further envisioned that the pitch of the thread on at least one lead screw 160 can be designed for coarse or fine movement of the corresponding yoke 170. Further, each lead screw 160 can include a thread with varying pitch to allow for both coarse and fine movement of the corresponding yoke 170.
[0048] With particular reference to
[0049] Thus, as can be appreciated the rotation of motors “M1”-“M4” can effect the longitudinal movement of yokes 170a-170d, and thus the longitudinal movement of bearings 12 to control four features of surgical instrument—1) approximation (opening and closing) of the jaw members; 2) articulation of the jaw members in opposite directions; 3) firing fasteners from a jaw member; and 4) advancing and retracting a cutting member.
[0050] Additionally, instrument control unit 100 includes a fifth motor “M5” (see
[0051] Further, instrument control unit 100 includes a second interface gear 144 (see
[0052] It is envisioned that at least one motor (e.g., sixth motor “M6”) engages instrument control unit 100 via at least one cable “C” (i.e., the motor is not disposed within instrument control unit 100). Such embodiments were described above with regard to
[0053] With reference to
[0054] It is further envisioned that instrument control unit 100 includes a plurality of load cells 210 thereon (see
[0055] With reference to
[0056] With regard to interface gears 142 and 144, it is envisioned that each interface gear 142, 144 includes a sterile portion (shown in
[0057] The present disclosure also includes a robotic surgical system including instrument drive unit 100, surgical instrument 10 and control device 4, for example, as described above. Additionally, the present disclosure includes methods of controlling a surgical instrument 10 including the use of instrument control unit 100, and methods of performing a surgical task using instrument control unit 100.
[0058] It will be understood that various modifications may be made to the embodiments disclosed herein. Therefore, the above description should not be construed as limiting, but merely as exemplifications of various embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended thereto.