Covidien LP

Medtronic Ps Medical, Inc.

Other

Medtronics Ps Medical, Inc.

Zachary S Heiliger

Dylan R Kingsley

Jason Gary Weihe

Crystal A Adams

Russell W Holbrook

William Ross Whitney

Curtis M Siebenaller

Kurt J Anglese

Paul Cihak

Haralambos P Apostolopoulos

S Shane Dexter

Vikram August Garadi

Milton F Barnes

Michael Vu

Aayush Malla

Shane S Dexter

Thomas M Meese

Michael B Lyons

David J Van Tol

Kenneth E Netzel

David D Brause

Christopher T Tschudy

Jeremy P Green

Ian M Anderson

Russell Holbrook

A surgical system includes an elongated assembly and an articulation joint defined in the elongated assembly. The elongated assembly articulates about the articulation joint. The articulation joint defines a central axis and a distal side portion. An offsetting member extends from the distal side portion of the articulation joint. An end effector is supported by the offsetting member. The end effector includes a blade and a jaw member movable relative to the blade between a spaced-apart position and an approximated position for clamping tissue. The offsetting member offsets the end effector with respect to the central axis of the articulation joint. An actuation cable extends through the central axis of the articulation joint. The actuation cable is operably coupled to the jaw member to pivot the jaw member with respect to the blade between the spaced-apart position and the approximated position.

Surgical instruments, systems, and methods incorporating an offset end effector

A surgical instrument includes a housing, an articulating shaft, and an end effector assembly extending from the articulating shaft. Tensioning a first articulation cable and slackening a second articulation cable articulates the end effector assembly in a first direction and the opposite articulates the end effector assembly in a second, opposite direction. An articulation mechanism includes first and second capstans including proximal end portions of the first and second articulation cables at least partially wound thereabout. The first capstan is configured to rotate in a first direction to wind up the proximal end portion of the first articulation cable to tension the first articulation cable and in a second direction to unwind the proximal end portion of the first articulation cable to slacken the first articulation cable. The second capstan acts in an opposite manner to tension and slacken the second articulation cable.

Articulation mechanisms for surgical instruments such as for use in robotic surgical systems

A surgical cutting tool includes an elongated shaft and a cutting head. The shaft defines a coupling portion terminating at a proximal end of the shaft, a stem portion, and a distal portion. The stem portion defines a central axis. The coupling portion optionally defines a deflection surface positioned oblique with respect to the central axis and connected with a first driven surface and a second driven surface. Upon insertion into a drive chuck, the deflection surface promotes self-alignment of the cutting tool and the drive chuck.

Pin drive rotary surgical cutting tools and powered handpieces

A surgical instrument for use with a robotic surgical system includes a shaft extending distally from a housing and first and second jaw members disposed at a distal end of the shaft. The surgical instrument also includes a knife blade configured to cut tissue and a drive input configured to receive a rotational input from a robotic surgical system to drive rotation of an input shaft and translate the knife blade. The surgical instrument also includes a knife blade lock configured to move between a locked position to prevent rotation of the drive input, and an unlocked position such that the drive input is permitted to rotate in response to receiving the rotational input to drive rotation of the input shaft. The surgical instrument also includes a spring configured to bias the knife blade lock into the locked position.

Drive mechanisms for surgical instruments

An articulating electrosurgical instrument includes a housing having an elongated shaft extending therefrom and a wrist assembly operably supported to a distal end of the elongated shaft and configured to support an end effector assembly at distal end thereof. The wrist assembly includes a proximal link operably coupled to the distal end of the elongated shaft, a distal link operably coupled to the end effector assembly, and a central link operably coupled between the proximal link and the distal link. A transition lumen is configured to be received within the distal link, central link and proximal link. The transition lumen includes a helical passageway defined therein configured to guide a blade rod therethrough for operable engagement with a blade disposed within the end effector assembly.

Articulation assembly for robotic device

A surgical instrument for use in a robotic surgical system includes an end effector, a housing configured to be operably coupled to an instrument drive unit, a shaft extending distally from the housing, a wrist assembly coupled to a distal end portion of the shaft, articulation cables that adjust the pitch and yaw of the end effector relative to the shaft, and a differential gear mechanism that transfers an input rotation to the articulation cables.

Robotic surgical assemblies including surgical instruments having articulatable wrist assemblies

A surgical instrument for use with a robotic surgical system includes a knife blade configured to cut tissue and a knife tube coupled to the knife blade and configured to translate to move the knife blade for cutting tissue. The surgical instrument also includes a gearbox assembly coupleable to a robotic surgical system and configured to translate the knife tube to move the knife blade for cutting tissue and a knife blade lock operably coupled to the gearbox assembly. The knife blade lock is movable from a locked position wherein the knife blade lock prevents translation of the knife tube to an unlocked position in response to coupling of the gearbox assembly to the robotic surgical system wherein the knife tube is permitted to translate to move the knife blade for cutting tissue.

An end effector assembly of a robotic surgical instrument includes a distal segment and first and second jaw members supported by the distal segment. The distal segment defines an elongate slot therein. The first jaw member has a proximal flange portion received in the elongate slot of the distal segment, and the second jaw member has a proximal flange portion received in the distal segment. The proximal flange portions of each of the first and second jaw member are pinned to the distal segment.

End effector assembly for use in a robotic surgical instrument

A robotic surgical instrument includes a housing, a shaft assembly extending distally from the housing, and an end effector assembly. The shaft assembly has a proximal segment coupled to the housing, a clevis supporting the end effector assembly, and at least one articulating link pivotably coupled to and interconnecting the proximal segment and the clevis such that the end effector assembly is configured to articulate relative to the proximal segment via the at least one articulating link in at least two directions.

Robotic surgical instrument

A robotic surgical instrument includes a housing, a support plate disposed within the housing, and a shaft having a proximal end portion coupled to the support plate within the housing, a proximal segment, a distal segment, and an articulating portion interconnecting the proximal and distal segments. An end effector assembly is coupled to the distal segment of the shaft. A plurality of actuation components extends through the support plate and at least a portion of the shaft to operably couple to at least one of the end effector assembly, the articulating portion, or the distal segment to enable selective actuation of the end effector assembly. A seal configuration establishes seals against an interior annular surface of the shaft, about each actuation component of the plurality of actuation components, and within the proximal end portion of the shaft to inhibit fluid communication from the shaft into the housing.

Seal configurations for surgical instruments such as for use in robotic surgical systems

An end effector assembly includes a clevis having first and second spaced-apart arms, a ceiling, a floor, pivot and cam pins extending between the arms, and first and second jaw members. Each jaw member includes a proximal portion and a distal body extending distally from the clevis. The proximal portion of the first jaw member includes a first flag disposed between the first and second arms of the clevis, operably coupled to both the pivot pin and the cam pin, extending vertically at least partially through openings defined within the ceiling and floor. The proximal portion of the second jaw member includes second and third flags disposed between the first and second arms of the clevis in spaced-apart relative to one another and between the ceiling and the floor. The second and third flags are fixedly engaged to the clevis.

End effector assemblies for surgical instruments such as for use in robotic surgical systems

A surgical instrument includes an elongated shaft including an articulating segment. A jaw assembly extends from a distal segment of the elongated shaft. A first jaw member can be actuated between a closed configuration and an open configuration. An articulation cable assembly includes a first articulation cable including a first extending portion, a second extending portion spaced apart from the first extending portion, and a loop portion connecting distal ends of the first and second extending portions of the first articulation cable. A first ferrule is positioned about the loop portion of the first articulation cable. A second articulation cable includes a first extending portion, a second extending portion spaced apart from the first extending portion, and a loop portion connecting distal ends of the first and second extending portions of the second articulation cable. A second ferrule is positioned about the loop portion of the second articulation cable.

Surgical instruments having an articulating section such as for use in robotic surgical systems

A gearbox assembly for a surgical instrument includes an articulation sub-assembly and a jaw drive sub-assembly. The articulation sub-assembly is configured to articulate an end effector of the surgical instrument and the jaw drive sub-assembly is configured to move jaw members of the end effector between an open and closed position. The articulation sub-assembly includes two input shafts, a proximal plate, a middle plate, two center gears, and four lead screws with four nuts. The jaw drive sub-assembly includes a drive rod coupled to at least one of the jaws and a spring force assembly to maintain a force between the jaws.

Drive and articulation mechanisms for surgical instruments for use in robotic surgical systems

A robotic surgical instrument includes a housing and a shaft extending distally from the housing and including proximal and distal segments and an articulating portion interconnecting the segments. An end effector assembly is coupled to the distal segment and a plurality of actuation components extends through at least a portion of the shaft to enable selective actuation of the end effector assembly. A seal configuration is operably associated with a proximal body portion of a proximal link of the articulating portion of the shaft to establish seals against an interior annular surface of the shaft, about each actuation component of the plurality of actuation components, and within a distal end portion of the proximal segment of the shaft to inhibit fluid communication proximally into the proximal segment of the shaft.

An articulation assembly for a robotic surgical instrument includes a plurality of rotatable but longitudinally fixed lead screws extending between first and second base plates, a collar threaded about each lead screws and configured to translate therealong in response to rotation of the corresponding lead screw, an articulation cable coupled to each collar and defining or having a threaded shaft, and a threaded nipple threaded about each of the threaded shafts. Each threaded nipple is engaged with one of the collars to thereby engage each of the articulation cables with a corresponding one of the collars such that longitudinal translation of the corresponding collar pushes or pulls the corresponding articulation cable. Each threaded nipple is configured for further threading or unthreading about the corresponding threaded shaft to vary a pre-tension on the corresponding articulation cable.

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Nederland, CO, United States of America

Zachary S Heiliger