Method, apparatus, and system for facilitating bending of an instrument in a surgical or medical robotic environment

Abstract

A method, apparatus, and system for facilitating bending of an instrument in a surgical or medical robotic environment are provided. In one aspect, a surgical system includes an instrument comprising an end effector, the instrument capable of articulation via a bending section. The bending section includes a body including a first strut and a second strut, and a channel formed through the body. The first strut and the second strut form a gap therebetween, wherein the gap is in communication with the channel formed through the body.

Claims

1. A surgical system comprising: an instrument comprising an end effector and being capable of articulation via a bending section that comprises: a body including a first leaf and a second leaf; and a channel formed through the body, wherein: the first leaf and the second leaf form a gap therebetween, at least one of the first leaf and the second leaf has a globular form at a top portion and tapers towards a bottom portion, the gap has a globular form at a bottom of the gap and tapers towards a top of the gap, the gap is in communication with the channel formed through the body, the channel comprises an open region that permits lateral insertion of ancillary components into the channel; and the open region comprises two opposing fingers.

2. The system of claim 1, wherein the gap is formed through an outer surface of the body.

3. The system of claim 1, wherein a size of the gap between the first leaf and the second leaf is capable of changing.

4. The system of claim 1, wherein the channel is non-cylindrical.

5. The system of claim 1, wherein the channel receives an articulation wire.

6. The system of claim 5, wherein the channel further receives an ancillary component of the end effector.

7. The system of claim 6, wherein the ancillary component comprises fibers or electrical wires.

8. The system of claim 1, wherein the end effector comprises a pair of tines.

9. The system of claim 1, wherein the end effector is passable through a working channel such that it is interchangeable.

10. The system of claim 1, wherein the end effector comprises forceps, scissors, a laser, a camera, a cautery tool, or a needle.

11. The system of claim 1, wherein the two opposing fingers are separated by a gap when the body is in an unarticulated state.

12. The system of claim 11, wherein the two opposing fingers are configured to move toward one another when the body is articulated.

13. A surgical system comprising: an instrument comprising an end effector and being configured to articulate via a bending section that comprises a body including a first leaf and a second leaf; a gap formed through an outer surface of the body, wherein at least one of the first and second leaf having a globular form at a top portion and tapering towards a bottom portion, wherein the gap having a globular form at a bottom of the gap and tapering towards a top of the gap; and a channel formed through the body that is in communication with the gap, wherein: the channel comprises an open region that permits lateral insertion of ancillary components into the channel; and the open region comprises two opposing fingers.

14. The system of claim 13, wherein the channel is non-cylindrical.

15. The system of claim 13, wherein the gap is formed between the first leaf and the second leaf.

16. The system of claim 15, wherein a size of the gap between the first leaf and the second leaf is capable of changing.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) FIGS. 1A-1B are views to facilitate description of a neutral axis;

(2) FIGS. 2A-2B are views to facilitate description of a neutral axis;

(3) FIG. 2 is a view to facilitate description of a neutral axis;

(4) FIGS. 3A-3D depict an apparatus for a bending flexure according to a first embodiment of the present invention;

(5) FIGS. 4A-4B are cross section side views of FIG. 3;

(6) FIG. 5 is a view of a modeling representation of FIG. 3 according to a finite element analysis (FEA);

(7) FIG. 6 is a view depicted an articulated position of the first embodiment depicted in FIG. 3;

(8) FIGS. 7A-7B are isometric views of an assembly, wherein the flexure subject matter is incorporated into an end effector, according to one embodiment of the present invention;

(9) FIGS. 8A-8E depict an apparatus for a bending flexure according to a second embodiment of the present invention;

(10) FIGS. 9A-9B are cross section side views of FIG. 8; and

(11) FIG. 10 is a cross section side view that depicts bending behavior of FIG. 9.

DETAILED DESCRIPTION

(12) Although certain preferred embodiments and examples are disclosed below, inventive subject matter extends beyond the specifically disclosed embodiments to other alternative embodiments and/or uses, and to modifications and equivalents thereof. Thus, the scope of the claims appended hereto is not limited by any of the particular embodiments described below. For example, in any method or process disclosed herein, the acts or operations of the method or process may be performed in any suitable sequence and are not necessarily limited to any particular disclosed sequence. Various operations may be described as multiple discrete operations in turn, in a manner that may be helpful in understanding certain embodiments; however, the order of description should not be construed to imply that these operations are order dependent. Additionally, the structures, systems, and/or devices described herein may be embodied as integrated components or as separate components.

(13) For purposes of comparing various embodiments, certain aspects and advantages of these embodiments are described. Not necessarily all such aspects or advantages are achieved by any particular embodiment. Thus, for example, various embodiments may be carried out in a manner that achieves or optimizes one advantage or group of advantages as taught herein without necessarily achieving other aspects or advantages as may also be taught or suggested herein.

(14) The embodiments described herein are directed to an apparatus for a distal bending section of minimally invasive surgical instrument having a large degree of articulation and providing sufficient rigidity to resolve the required forces during remote surgical procedures. Other embodiments provide methods of using the distal bending section and methods for making it.

(15) One embodiment provides placing the path of the ancillary components close to the neutral axis of the bending section. Consequently, this reduces interactions between the articulation of the bending section and the ancillary components. Furthermore, embodiments of the present invention provide a more predictable bend and end effector behavior. For example and not by way of limitation, removing material from the cross section accommodates the articulation pull wire and the ancillary components, hence, the bending stiffness can be manipulated in order to achieve a desired characteristic.

(16) In one embodiment, the component is manufactured from a superplastic material. In one embodiment, the material is Nitinol and with superelastic phase at room and/or body temperature. Also, other embodiments include use of any super elastic alloy. In yet another embodiment, the moment of inertia was tuned such that the structure achieves a significant bend by generating a moment on the structure and recovers to the original position when the moment is removed. This actuation would simply require one pull wire at the tip, which would need to be pulled in order to generate a moment and relaxed to relieve the moment.

(17) In an alternative embodiment, the component is manufactured from a superplastic material, but the cross section allows a different inner profile by incorporating the relief on the profile, the device lends itself to be manufactured using the wire EDM (Electric Discharge Machining) process without having to initially create a clearance hole.

(18) Referring to FIG. 3A, finished bending section 300 in accordance to an embodiment of the present invention is depicted. FIG. 3B is a longitudinal cross-section through the axis of bending section 300, FIG. 3C shows an axial cross-section of bending section 300 along line C of FIG. 3B, and FIG. 3D shows an axial cross-section of bending section 300 along line D of FIG. 3B.

(19) Referring to FIG. 3B, material is removed along the top portion of a rod to create void 302, preferably along the length of the bending section. As discussed below, this void is created to assist in removal of material in the road to create the additional features of this preferred embodiment. Material is also removed from teardrop sections 304, where adjacent to teardrop section 304 material is left in place forming leaves 306. A tendon (not shown) extends through void 308 (described below) is attached at the distal end of bending section 300. When tension is applied to the tendon bending section will bend downward, as shown in the figure, and teardrop voids 304 permit leaves 306 to move inward, and a bend is realized along solid spine 310. The skilled artisan will appreciate the selection of shapes for the teardrop voids and leaves is a matter of design choice, as well as the amount of material left to form spine 310.

(20) Referring now to FIG. 3C, non-cylindrical channel is formed down the length of the solid rod. Preferably the outer circumference of the rod, and therefore the bending section, has an approximately cylindrical shape, similar to that of a drawn hypotube. Prior art bending sections have material cut from a hypotube, and therefore have a cylindrical inner diameter as well, which results is a uniform sidewall thickness along the length of the prior art bending section. When the outer diameter of the bending section is small, the hypotube walls do not provide sufficient strength and rigidity when large degree articulations are required and where a surgical tool at the distal end requires this rigidity to perform desired procedures. Embodiments of the present invention provide a non cylindrical channel through the bending section, which permits distributing material off-axis (i.e., non-uniform wall thickness) to provide structural rigidity to the bending section, provides a pathway 314 for the tendon off-axis and a pathway 316 proximate to the neutral axis for auxiliary cables (not shown), such as tool actuating or articulating cables.

(21) One embodiment provides for placing the path of the ancillary components as close to the neutral axis of the bending section. Consequently, this reduces interactions between the articulation of the bending section and the ancillary components. Furthermore, this embodiment provides a more predictable bend and end effector behavior. For example, removing enough material from the cross section to accommodate the articulation pull wire and the ancillary components, hence, the bending stiffness can be manipulated in order to achieve a desired characteristic. FIG. 4 is a cross section the same as shown in FIG. 3C. The location of the cross section locations relative to the structure are illustrated in FIG. 5. Section c-c demonstrates the cross section of the region 310 that will experience the bend and will contribute to the deflection of the structure. Section d-d demonstrates the region of the structure that provides a chassis 316, similar to a ribcage, to supports and house the components that are required to articulate the structure and manipulate the end effector. In this Figure, the hatched diagonal sections (referred to as hatched regions) depict a solid cross section. For example, section c-c has a solid cross section on the top portion. In contrast, section d-d has a solid cross section around the entire channel.

(22) A dashed line near the top of the figure depicts the neutral axis of the apparatus. Also, a dashed arrow depicts the direction of the preferential bending away from the neutral axis in a downward direction.

(23) Both section views of section c-c and d-d depict a dual oval shaped key opening, or lumen, to accommodate ancillary components (not shown) and an articulation wire (not shown). In some embodiments, the ancillary components could include any or all of the following: Pull wires for generating actuation at the end effector; Fibers for Illumination, laser, vision; Pneumatics and/or hydraulics; Electrical wires; Open lumen for a working channel (open architecture device, end effector is passed through working channel and is interchangeable); and A telescoping tube that supports the end effector.

(24) In one embodiment, the top opening, or lumen, accommodates the ancillary components and the bottom opening accommodates the articulating wire that controls the bending of the apparatus. However, the skilled artisan appreciates different lumen configurations and placements based at least in part on the medical, surgical, or other application of the bending apparatus may be used without deviating from the present invention.

(25) FIG. 5 is a view of a modeling representation of FIG. 3 according to a finite element analysis (FEA) which shows the interaction between the articulation wire (not shown) and the flexure.

(26) FIG. 6 is a view depicting an articulated position of the the embodiment depicted in FIGS. 3-4. This photograph was captured under a microscope and exemplifies the uniform bending of the structure. In one embodiment, the degree of articulation is based at least in part on the amount of reliefs/voids along the length of the structure. In this embodiment, one aspect of the relief also allows the structure a hard stop (a feedback of hitting a barrier) when the leaves come in contact. Consequently, embodiments of the present invention help to prevent over articulation and potential damage to the structure.

(27) FIGS. 7A-7B are isometric views of an assembly, wherein the flexure subject matter is incorporated into an end effector, according to one embodiment of the claimed subject matter in the present invention;

(28) FIGS. 8A-8E depict an apparatus for a bending flexure according to another embodiment of the present invention. The skilled artisan will appreciate the shape of non-cylindrical channel can be varied to achieve desired bending and rigidity properties of the bending section. The cross section of the design depicted in FIGS. 8C-8D (shown in FIG. 9), permits the inner profile to break out. By incorporating this relief on the profile, the device lends itself to be manufactured using the wire EDM process without having to initially create a clearance hole

(29) FIGS. 9A-9B are cross section side views of FIG. 8. The two struts 702 on flexure #2 (FIG. 8D) tend to bend about the neutral axis, but also slightly into the center of the cross section. This bending characteristic will result in the break out “gap” to start to close as the flexure is articulated, and will eventually close completely during large articulations.

(30) Also, in this second embodiment, an opening allows for lateral insertion of ancillary components. The concept of having a break out on the inner profile also has a benefit during the assembly process. For example, there is an available gap through the piece, the articulation wire and ancillary components can be inserted laterally instead of axially. This assembly option also allows the flexure to replaced without having to sever the articulation wire.

(31) FIG. 10 is a cross section side view that depicts bending behavior of the embodiment depicted in FIGS. 8-9. During operation, the gap will tend to close as the flexure is articulated and will therefore minimize the possibility of having the ancillary components “escape” the inner profile lumens. If the presence of the gap is of concern, the component can still be manufactured with a gap and then “shape set” in order to close the gap before integration into an assembly.

(32) Elements or components shown with any embodiment herein are exemplary for the specific embodiment and may be used on or in combination with other embodiments disclosed herein. While the invention is susceptible to various modifications and alternative forms, specific examples thereof have been shown in the drawings and are herein described in detail. The invention is not limited, however, to the particular forms or methods disclosed, but to the contrary, covers all modifications, equivalents and alternatives thereof.