Abstract:
An apparatus configured to deliver electrical energy to energize an end effector coupled via a clevis to a shaft of a medical instrument comprises an electrical transmission conduit configured to extend along the shaft from a proximal portion to a distal portion and configured to deliver electrical energy to energize the end effector, and a connector assembly configured to couple to the end effector. The connector assembly comprises an electrically conductive contact portion configured to electrically couple the electrical transmission conduit to the end effector, the electrically conductive contact portion defining a pivot surface about which the end effector is rotatable in a coupled state of the connector assembly to the end effector; and an electrically insulating member configured to electrically insulate the end effector from the clevis in a coupled state of the connector assembly to the end effector.
Abstract:
A surgical instrument includes a shaft, a force transmission mechanism disposed at a first end of the shaft, an end effector disposed at a second end of the shaft, an actuation element that extends along the shaft from the force transmission mechanism to the end effector, and an actuation element guide extending along the shaft. The actuation element guide defines a lumen in which the actuation element guide is received. The actuation element guide is compressed into a pre-compressed state along at least a portion of an axial length of the shaft. The actuation element guide can be compressed between first and second blocks of the instrument. The instrument can include a flush tube configured to receive a cleaning fluid, with the actuation element guide being in flow communication with the flush tube to receive the cleaning fluid in the lumen of the actuation element guide.
Abstract:
A surgical apparatus includes a cannula and a surgical instrument. The cannula includes a curved longitudinal axis along at least a portion of its length. The surgical instrument includes an elongated shaft having a distal end and a proximal end, and an end effector coupled to the distal end of the elongated shaft. At least a portion of the end effector is configured to contact an inner surface of the cannula during insertion of the surgical instrument into the curved cannula. A threshold galling stress between the portion of the end effector and an inner surface of the curved cannula is at least 10,000 pounds per square inch.
Abstract:
An instrument includes a movable end effector component coupled to a shaft; a force transmission mechanism; and an actuation mechanism coupled to the force transmission mechanism and the end effector, the actuation mechanism comprising a first actuation member segment and a second actuation member segment. The force transmission mechanism comprises: a first pulley coupled to a rotatable drive input and having a first axis of rotation, and a second pulley having a second axis of rotation non-parallel to the first axis of rotation of the first pulley. The first actuation member segment is routed over the first pulley. In response to rotation of the rotatable drive input, at least a portion of the first actuation member segment is wound onto the first pulley and unwound from the second pulley, and the second actuation member segment is translated along the shaft to actuate the movable end effector component.
Abstract:
A force transmission mechanism for a teleoperated surgical instrument includes a drive pulley, a drive cable operably coupled with the drive pulley, a driven pulley operably coupled with the drive cable, and an actuation member operably coupled to the driven pulley. The actuation member is configured to transmit force to actuate an end effector of the surgical instrument. Rotational motion of the driven pulley causes translational movement of the actuation element to actuate the end effector. Methods relate to operating a force transmission mechanism.
Abstract:
A force transmission mechanism for a teleoperated surgical instrument includes a drive pulley, a drive cable operably coupled with the drive pulley, a driven pulley operably coupled with the drive cable, and an actuation member operably coupled to the driven pulley. The actuation member is configured to transmit force to actuate an end effector of the surgical instrument. Rotational motion of the driven pulley causes translational movement of the actuation element to actuate the end effector. Methods relate to operating a force transmission mechanism.
Abstract:
A surgical instrument may include a shaft, a force transmission mechanism, and an end effector. The shaft may have a proximal end and a distal end. The force transmission mechanism may be coupled to the proximal end of the shaft. The end effector may be coupled to the distal end of the shaft. The shaft may include a body having an outer surface and an inner surface. The inner surface may surround a lumen configured to receive a drive member that extends through the lumen. The outer surface of the body may form an outer surface of the shaft. The body may be made of a single material from the inner surface of the body to the outer surface of the body.
Abstract:
A surgical instrument includes a shaft having a proximal end and a distal end and end effector coupled to the distal end of the shaft. An electrical transmission conduit extends along the shaft from the proximal end to the distal end and is configured to deliver electrical energy to energize the end effector. A connector assembly electrically couples the electrical transmission conduit to the end effector, and the end effector is pivotably coupled to the connector assembly. In another aspect, a surgical instrument includes a pin, an electrically conductive connector including a contact portion and an attachment, the contact portion surrounding the pin. An electrical conduit is electrically coupled to the attachment of the connector. An electrically conductive jaw including an aperture is pivotable around the contact portion, and the contact portion electrically contacts the jaw at the aperture of the jaw.
Abstract:
An instrument comprises a plurality of elongate members having a proximal end and a distal end, a shaft, an actuation member extending through the shaft, and a tube member extending through the shaft and housing at least a portion of a length of the actuation members. An end effector is coupled to a distal end of, and a force transmission mechanism is coupled to a proximal region of, at least one of the plurality of elongate members. At least one of the plurality of elongate members comprises a first electrically conductive length portion, a second electrically conductive length portion, and an electrically insulative length portion between and connecting the first electrically conductive length portion and the second electrically conductive length portion. The electrically insulative length portion reduces a conductive length of the elongate member, thereby reducing a capacitive coupling effect in the instrument.
Abstract:
An electrosurgical device may include an elongated shaft having a distal end and a proximal end, an electrosurgical end effector coupled to the distal end of the elongated shaft, an electrically insulative sheath disposed around at least a proximal end portion of the end effector, and an electrically insulative viscous material disposed to provide a barrier to liquid entry into an interior region defined by the sheath.