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US7316681B2 Expired / Lapsed US ⏱️ 0.0 years remaining

Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity

Assignee: Intuitive Surgical Operations Inc
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Filing: 2005-10-04
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Granted: 2008-01-08
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Expires: 2025-10-04
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Abstract

Abstract An articulated surgical instrument for enhancing the performance of minimally invasive surgical procedures. The instrument has a high degree of dexterity, low friction, low inertia and good force reflection. A unique cable and pulley drive system operates to reduce friction and enhance force reflection. A unique wrist mechanism operates to enhance surgical dexterity compared to standard laparoscopic instruments. The system is optimized to reduce the number of actuators required and thus produce a fully functional articulated surgical instrument of minimum size.

Inventors

  • 👤 Akhil J. Madhani
  • 👤 J. Kenneth Salisbury

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 13:45
CPC Classifications
A; A61; A61B; A61B34/00; A61B34/30; A61B17/00; A61B17/00234; A61B17/28; A61B17/29; A61B34/35; A61B34/37; A61B34/70; A61B34/71; A61B34/76; A61B34/77; B; B25; B25J; B25J3/00; B25J3/04; B25J9/00; B25J9/10; B25J9/104; A61B2017/2926; A61B2017/2927; A61B2017/2929; A61B2017/2932; A61B2017/2939; A61B2034/305; A61B2034/306; A61B2034/715; Y; Y10; Y10T; Y10T74/00; Y10T74/20; Y10T74/20207; Y10T74/20305; Y10T74/20329; Y10T74/20335

Claims Analysis

Total Claims: 15
Claim 1
Independent Claim 158 words
An articulated surgical instrument for minimally invasive surgery comprising: an elongate support member having a proximal end and a distal end; a wrist member having a proximal end and a distal end, the proximal end of the wrist member coupled to the distal end of the support member by a wrist joint defining a joint axis; first and second capstans rotatably coupled to the distal portion of the wrist member by respective first and second capstan joints; first, second, third, and fourth intermediate idler pulleys mounted on the wrist joint to independently rotate about the joint axis; first and second cables engaging, in a first circumferential orientation, the first and second intermediate idler pulleys respectively, the first and second cables further engaging the first capstan; third and fourth cables engaging, in a second circumferential orientation opposite the first circumferential orientation, the third and fourth intermediate idler pulleys respectively, the third and fourth cables further engaging the second capstan.
Claim 2
Dependent Claim 158 words
An articulated surgical instrument for minimally invasive surgery comprising: an elongate support member having a proximal end and a distal end; a wrist member having a proximal end and a distal end, the proximal end of the wrist member coupled to the distal end of the support member by a wrist joint defining a joint axis; first and second capstans rotatably coupled to the distal portion of the wrist member by respective first and second capstan joints; first, second, third, and fourth intermediate idler pulleys mounted on the wrist joint to independently rotate about the joint axis; first and second cables engaging, in a first circumferential orientation, the first and second intermediate idler pulleys respectively, the first and second cables further engaging the first capstan; third and fourth cables engaging, in a second circumferential orientation opposite the first circumferential orientation, the third and fourth intermediate idler pulleys respectively, the third and fourth cables further engaging the second capstan.
Claim 3
Dependent Claim 24 words
The instrument of claim 1 , further comprising first, second, third, and fourth actuators engaged with the first, second, third, and fourth cables, respectively.
Claim 4
Dependent Claim 21 words
The instrument of claim 1 , further comprising first and second work members coupled to the first and second capstans, respectively.
Claim 5
Dependent Claim 19 words
The instrument of claim 3 , further comprising force sensors capable of measuring forces exerted on the work members.
Claim 6
Dependent Claim 30 words
The instrument of claim 1 , further comprising fifth, sixth, seventh, and eighth intermediate idler pulleys, each intermediate idler pulley engaged with the first, second, third, and fourth cables, respectively.
Claim 7
Dependent Claim 14 words
The instrument of claim 1 , the first and second capstans having different diameters.
Claim 8
Dependent Claim 35 words
The instrument of claim 1 , further comprising an instrument base coupled to the proximal end of the elongate support member by a rotary joint, the instrument base comprising a slidable bracket housing the actuators.
Claim 9
Dependent Claim 23 words
The instrument of claim 7 , the instrument base further comprising support brackets connected together by a support rod and two guide rails.
Claim 10
Dependent Claim 36 words
The instrument of claim 1 , further comprising a fifth actuator engaged with a fifth cable, the proximal end of the elongate support member comprising a drive capstan, the fifth cable engaged with the drive capstan.
Claim 11
Dependent Claim 21 words
The instrument of claim 9 , the fifth cable further engaged with a rear tensioning pulley and two drive idler pulleys.
Claim 12
Independent Claim 217 words
A method for performing minimally invasive surgery comprising providing: an elongate support member having a proximal end and a distal end; a wrist member having a proximal end and a distal end, the proximal end of the wrist member coupled to the distal end of the support member by a wrist joint defining a joint axis; first and second capstans rotatably coupled to the distal portion of the wrist member by respective first and second capstan joints; first, second, third, and fourth intermediate idler pulleys mounted on the wrist joint to independently rotate about the joint axis; first and second cables engaging, in a first circumferential orientation, the first and second intermediate idler pulleys respectively, the first and second cables further engaging the first capstan; third and fourth cables engaging, in a second circumferential orientation opposite the first circumferential orientation, the third and fourth intermediate idler pulleys respectively, the third and fourth cables further engaging the second capstan; the method further comprising: driving the first cable in opposition to the second cable to rotate the first capstan; driving the third cable in opposition to the fourth cable to rotate the second capstan; driving the first and second cables in unison in opposition to the third and fourth cables to rotate the wrist member about the joint axis.
Claim 13
Independent Claim 217 words
A method for performing minimally invasive surgery comprising providing: an elongate support member having a proximal end and a distal end; a wrist member having a proximal end and a distal end, the proximal end of the wrist member coupled to the distal end of the support member by a wrist joint defining a joint axis; first and second capstans rotatably coupled to the distal portion of the wrist member by respective first and second capstan joints; first, second, third, and fourth intermediate idler pulleys mounted on the wrist joint to independently rotate about the joint axis; first and second cables engaging, in a first circumferential orientation, the first and second intermediate idler pulleys respectively, the first and second cables further engaging the first capstan; third and fourth cables engaging, in a second circumferential orientation opposite the first circumferential orientation, the third and fourth intermediate idler pulleys respectively, the third and fourth cables further engaging the second capstan; the method further comprising: driving the first cable in opposition to the second cable to rotate the first capstan; driving the third cable in opposition to the fourth cable to rotate the second capstan; driving the first and second cables in unison in opposition to the third and fourth cables to rotate the wrist member about the joint axis.
Claim 14
Dependent Claim 27 words
The method of claim 11 , further comprising driving the first, second, third, and fourth cables simultaneously to translate the elongate support member along its longitudinal axis.
Claim 15
Dependent Claim 37 words
The method of claim 11 , further comprising driving a fifth cable engaged to a drive capstan coupled to the proximal end of the elongate support member to rotate the elongate support member about its longitudinal axis.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2011-01-07 2011-07-09 2012-01-08 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2015-01-07 2015-07-09 2016-01-08 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2019-01-07 2019-07-09 2020-01-08 $7700.00 Window Closed / Lapsed

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