Cilag International Gmbh

Noah Medical Corporation

Neil Markwardt

Charles J Scheib

Andrew T Beckman

Mark D Overmyer

Christopher A Denzinger

Brian D Black

Robert Decou

Benjamin D Dickerson

Travis Michael Schuh

Matthew Robert Penny

Jason Alan Hill

Matthew T Stone

Benjamin Lawrence Bertram

Raffaele J DeFinis

Heather E Knox

Benjamin Selle

Julia Toye

Daniel Nasr-Church

Raffaele Definish

A surgical tool includes a stage portion that includes opposing first and second ends, a lead screw and at least one spline that extend between the first and second ends, and a first layer of a carriage movably mounted to the lead screw and the at least one spline. An instrument portion is releasably coupled to the stage portion and includes one or more additional layers of the carriage removably coupled to the first layer, and an elongate shaft extending distally from the one or more additional layers and having an end effector arranged at a distal end of the elongate shaft. The elongate shaft and the end effector penetrate the elevator layer and the first end when the instrument portion is coupled to the stage portion.

Robotic surgical tool with drop in instrumentation core

A suturing instrument is provided. The suturing instrument comprises: a flexible shaft comprising an articulatable bending section; and a needle end effector located at a distal end of the bending section. The needle end effector comprises a toggle-based rotation mechanism to switch an orientation of a needle to engage and disengage the needle with a ferrule.

Systems and methods for robotic endoluminal suturing instrument

A surgical instrument includes an end effector, a shaft assembly, a drive, and an activating mechanism. The end effector includes first and second jaws. At least one of the first and second jaws is pivotable relative to the other of the first and second jaws between open and closed positions. The shaft assembly extends proximally from the end effector. The drive is operatively connected to a portion of at least one of the end effector or the shaft assembly. The activating mechanism includes an actuation body operatively connected to the drive. The portion is configured to perform a first actuation profile in response to the actuation body moving along a first predetermined path or perform a second actuation profile in response to the actuation body moving along a second predetermined path. Selection of the first predetermined path is configured to prevent the actuation body from accessing the second predetermined path.

Selectable jaw closure of a robotic surgical system

A robotic surgical tool includes a handle having a drive input and a spline, a bailout ring arranged at the handle, and a slipper clutch mechanism received within the bailout ring. The slipper clutch mechanism including a slip carrier rotationally fixed to the bailout ring and defining a vertical slot that slidably receives a pin, a first ring arranged within the slip carrier and defining a first interface, a second ring arranged within the slip carrier atop the first ring and defining a second interface, and a pinion gear operatively coupled to the spline and arranged to intermesh with radial gear teeth defined on the second ring. Manual rotation of the bailout ring rotates the slip carrier and the pin and thereby rotates the first and second ring in succession to rotate the spline and manually bail out a function of the robotic surgical tool.

Slipper clutch for surgical tool bailout

A method of manually operating a surgical tool includes arranging the surgical tool adjacent a patient, the surgical tool including a drive housing having opposing first and second ends, a spline extending between the first and second ends and being rotatably coupled to a drive input at the first end, a drive gear coupled to and rotatable with the spline, a carriage movably mounted to the spline and housing an activating mechanism operatively coupled to the drive gear such that rotation of the spline actuates the activating mechanism, and a bailout mechanism arranged at the second end and including a lever engageable with the spline. The lever is movable relative to the spline to engage the lever allow the lever to be manually rotated to rotate the spline and the drive gear to manually actuate the activating mechanism.

Manual drive functions for surgical tool having carriage architecture

A robotic surgical tool comprises a stage assembly and a core assembly removably mountable to the stage assembly. The stage assembly may comprise a lead screw and at least one spline extendable between first and second ends of the stage assembly, and a nut rotatably mounted to the lead screw to translate between the first and second ends upon rotation of the lead screw. The core assembly may comprise a drive housing that is movably mountable to the stage assembly to translate, with the nut, between the first and second ends of the stage assembly. The surgical tool may also comprise a shroud assembly having a primary shroud and a secondary shroud, the primary shroud at least partially enclosing the core assembly when installed on the stage assembly, and the secondary shroud being movable between a first position, where the secondary shroud occludes an opening in the primary shroud, and a second position, where the opening in the primary shroud is exposed. The secondary shroud may be pivotally attached to the primary shroud at a hinge. The secondary shroud may be slidingly attached to the primary shroud, such that the secondary shroud is circumferentially revolvable relative to the primary shroud between the first and second positions. The secondary shroud may be slidingly attached to the primary shroud, such that the secondary shroud is axially slidable relative to the primary shroud between the first and second positions.

A surgical instrument includes a drive housing, a spline, a carriage, an elongate shaft assembly, an end effector, and an activating mechanism. The at least one spline includes a drive gear rotatable with the spline. The elongate shaft assembly extends from the carriage. The activating mechanism includes a barrel cam extending along a rotational axis and having a first cam profile radially extending about the rotational axis. The barrel cam is operatively coupled to the drive gear such that rotation of the drive gear is configured to actuate the activating mechanism to move at least a portion of the end effector. The first cam profile defines a plurality of slopes relative to the rotational axis such that the first cam profile is configured to drive movement of the end effector or the elongate shaft assembly at different rates according to the plurality of slopes.

Variable jaw closure of a robotic surgical system

A robotic surgical tool includes a drive housing having a first end and a second end, at least one spline extending between the first and second ends and including a drive gear that rotates with rotation of the spline, and a carriage movably mounted to the spline. An elongate shaft extends from the carriage and through the first end, an end effector is arranged at a distal end of the elongate shaft, and a wrist interposes the end effector and the distal end of the shaft. An activating mechanism is housed in the carriage and operatively coupled to the drive gear such that rotation of the drive gear correspondingly actuates the activating mechanism and thereby causes the wrist to articulate the end effector in at least one plane.

Articulation mechanisms for robotic surgical tools

A surgical tool comprising a drive housing having a first end and a second end, a spline extending between the first and second ends and being rotatably coupled to the first end at a drive input, a drive gear coupled to and rotatable with the spline, a carriage movably mounted to the spline and housing an activating mechanism operatively coupled to the drive gear such that rotation of the spline actuates the activating mechanism, and a bailout mechanism arranged at the second end. The bailout mechanism may include a lever that is movable relative to the spline, from a first position, where the spline is disengaged from the lever, to a second position, where the spline engages the lever such that rotation of the lever correspondingly rotates the spline.

A robotic surgical tool includes a drive housing having first and second ends, at least one spline extending between the first and second ends and including a drive gear that rotates with rotation of the spline, and a carriage mounted to the spline. A closure tube extends from the carriage through the first end and has an end effector arranged at a distal end. An activating mechanism is housed in the carriage and includes a driven gear coupled to the drive gear such that rotation of the drive gear rotates the driven gear, and a carrier arranged at a proximal end of the closure tube and coupled to the driven gear such that rotation of the driven gear moves the carrier and the closure tube axially along a longitudinal axis of the closure tube. Moving the closure tube along the longitudinal axis closes or opens end effector jaws.

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Cincinnati, OH, United States of America

Neil Markwardt