Control system for medical and surgical instruments

Abstract

A cable management device for organizing medical and surgical instruments comprises a housing defining an exit manifold including opposable manifold sections configured to enclose one or more cables; a plurality of guide cavities formed within the housing, each guide cavity configured to receive and route the one or more cables; a manifold locking mechanism configured to secure the opposable manifold sections in a closed position around the one or more cables; and a cable locking mechanism configured to selectively retain the one or more cables within the guide cavities.

Description

Attorney Docket Ref. No. 134629-OOOWOOlCONTROL SYSTEM FOR MEDICAL AND SURGICAL INSTRUMENTSTECHNICAL FIELD

[0001] The embodiments described herein are generally directed to a control system, and, more particularly, to a control system for medical and surgical instruments.BACKGROUND

[0002] In the medical field, "Spaghetti syndrome" describes the chaotic and tangled arrangement of wires, tubes, and components associated with certain devices during medical procedures and surgeries. This syndrome can arise in complex medical equipment that involves multiple connections and long tubes, leading to a cluttered workspace that resembles a plate of spaghetti or an unorganized electrical cabling arrangement. Such disorganization can be a significant challenge in healthcare settings, where efficient and safe operation is critical.

[0003] Doctors and their staff often encounter numerous problems stemming from spaghetti syndrome. Tangled or mismanaged cords can restrict the surgeon’s range of motion and lead to accidental injury to the patient or staff. This disarray may also cause instruments or cables to drop from the surgical field, resulting in potential breakage or loss of sterility. These issues can delay patient care, as surgical technologists or nurses must spend valuable time detangling, repositioning, or replacing the necessary cords, interrupting workflow and extending procedure duration. Additionally, the disorganized setup can make it difficult to troubleshoot problems, create frustration for the operating team, and lead to damage to cables or connected equipment due to kinks, overstretching, or insulation wear. Finally, tangled lines can increase the risk of sterile-field breaches when cords are inadvertently pulled or displaced during surgery.

[0004] Moreover, a significant issue is the potential for equipment failure. When cables and tubes are twisted or compressed, fluid or electrical flow can be disrupted, further compromising device performance. Poorly managed cables and connections can lead to wear and tear, increasing the risk of malfunctions during critical situations. Preventing tangling in the first place significantly reduces the likelihood of damage and procedural interruption.

[0005] Although the present invention is primarily intended for use with powered surgical instruments and suction lines, similar challenges are observed in intensive care units (ICUs) and patient monitoring environments, where multiple electrical and fluid connections — such as IV lines, ventilator tubes, and monitor cables — can become intertwined. In such settings,confusion of lines can hinder efficient patient management, though the risks differ from those encountered in the operating room. Accordingly, a control system for medical and surgical instruments is necessary. The present disclosure is directed toward overcoming one or more of the problems discovered by the inventor.SUMMARY

[0006] An aspect of the disclosure involves a cable management device for organizing medical and surgical instruments comprising a housing defining an exit manifold including two opposable manifold sections configured to enclose one or more wires, suction tubes, IV lines, cords, etc. (hereinafter referred to as “cables”) ; a plurality of guide cavities formed within the housing, each guide cavity configured to receive and route the one or more cables; a manifold locking mechanism configured to secure the opposable manifold sections in a closed position around the one or more cables; and a cable locking mechanism configured to selectively retain the one or more cables within the guide cavities.

[0007] One or more implementations of the aspect of the disclosure described immediately above includes one or more of the following: a support structure configured to mount the cable management device in a surgical environment; the cable locking mechanism comprises a pressure retention device configured to apply a force to the one or more cables within the guide cavities; the pressure retention device comprises a movable pin or plunger configured to extend into the guide cavity to apply a normal force against the one or more cables, the normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released; the pressure retention device interfaces with an intermediary compressible guiding component to apply appropriate normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released; the cable locking mechanism comprises a roller retention device configured to engage the one or more cables to prevent movement when activated; the roller retention device comprises at least one roller positioned adjacent to a guide cavity, the roller being rotatable during movement of a cable through the guide cavity and configured to be selectively immobilized by a locking activation mechanism to frictionally retain the cable in place; the exit manifold includes opposable manifold sections that form a clamshell enclosure configured to open and close about a hinge; a modular insert configured to be positioned within one or more of the guide cavities formed in the exit manifold; the modular insert is configured to be removable for cleaning, sterilization, or replacement with an insert2134629-0001PV01 / 10076654.1shaped for a different cable or tube; a retracting mechanism coupled to the one or more cables, the retracting mechanism configured to apply a constant retractable force to draw the cables toward the exit manifold; and / or the retracting mechanism comprises a counterweight configured to maintain the constant retractable force on the one or more cables.

[0008] Another aspect of the disclosure involves a control system for medical and surgical instruments comprising a cable management device including a housing defining an exit manifold including two opposable manifold sections configured to enclose one or more cables, a plurality of guide cavities formed within the housing, each guide cavity configured to receive and route the one or more cables, a manifold locking mechanism configured to secure the opposable manifold sections in a closed position around the one or more cables, and a cable locking mechanism configured to selectively retain the one or more cables within the guide cavities; and a support structure configured to mount the cable management device.

[0009] One or more implementations of the aspect of the disclosure described immediately above includes one or more of the following: the cable locking mechanism comprises a pressure retention device configured to apply a force to the one or more cables within the guide cavities; the pressure retention device comprises a movable pin or plunger configured to extend into the guide cavity to apply a normal force against the one or more cables, the normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released; the pressure retention device interfaces with an intermediary compressible guiding component to apply appropriate normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released; the cable locking mechanism comprises a roller retention device configured to engage the one or more cables to prevent movement when activated; the roller retention device comprises at least one roller positioned adjacent to a guide cavity, the roller being rotatable during movement of a cable through the guide cavity and configured to be selectively immobilized by a locking activation mechanism to frictionally retain the cable in place; the exit manifold includes opposable manifold sections that form a clamshell enclosure configured to open and close about a hinge; a modular insert configured to be positioned within one or more of the guide cavities formed in the exit manifold; the modular insert is configured to be removable for cleaning, sterilization, or replacement with an insert shaped for a different cable or tube; a retracting mechanism coupled to the one or more cables, the retracting mechanism configured to apply a constant retractable force to draw the cables toward the exit manifold; and / or the retracting mechanism comprises a counterweight configured to maintain the constant retractable force on the one or more cables.3134629-0001PV01 / 10076654.1

[0010] A further aspect of the disclosure involves a control system for medical and surgical instruments comprising a cable management device including a housing defining an exit manifold including opposable manifold sections configured to enclose one or more cables, a plurality of guide cavities formed within the housing, each guide cavity configured to receive and route the one or more cables, a manifold locking mechanism configured to secure the opposable manifold sections in a closed position around the one or more cables, and a cable locking mechanism configured to selectively retain the one or more cables within the guide cavities; a cable guiding device including a guidance base defining an entry manifold, one or more guidance channels extending from the guidance base, each guidance channel configured to receive and route one or more cables toward the cable management device; a first support bar coupled to the cable management device and configured to maintain the exit manifold in a fixed position; and a second support bar coupled to the guidance base and configured to maintain the entry manifold in a fixed orientation relative to the cable management device.

[0011] One or more implementations of the aspect of the disclosure described immediately above includes one or more of the following: the cable locking mechanism comprises a pressure retention device configured to apply a force to the one or more cables within the guide cavities; the pressure retention device comprises a movable pin or plunger configured to extend into the guide cavity to apply a normal force against the one or more cables, the normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released; the pressure retention device interfaces with an intermediary compressible guiding component to apply appropriate normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released; the cable locking mechanism comprises a roller retention device configured to engage the one or more cables to prevent movement when activated; the roller retention device comprises at least one roller positioned adjacent to a guide cavity, the roller being rotatable during movement of a cable through the guide cavity and configured to be selectively immobilized by a locking activation mechanism to frictionally retain the cable in place; the exit manifold includes opposable manifold sections that form a clamshell enclosure configured to open and close about a hinge; a modular insert configured to be positioned within one or more of the guide cavities formed in the exit manifold; the modular insert is configured to be removable for cleaning, sterilization, or replacement with an insert shaped for a different cable or tube; a retracting mechanism coupled to the one or more cables, the retracting mechanism configured to apply a constant retractable force to draw the cables4134629-0001PV01 / 10076654.1toward the exit manifold; and / or the retracting mechanism comprises a counterweight configured to maintain the constant retractable force on the one or more cables.5134629-0001PV01 / 10076654.1BRIEF DESCRIPTION OF THE DRAWINGS

[0012] The details of embodiments of the present disclosure, both as to their structure and operation, may be gleaned in part by study of the accompanying drawings, in which like reference numerals refer to like parts, and in which:

[0013] FIG. 1 illustrates a perspective view of a control system including a cable management device for medical and surgical instruments, according to an embodiment;

[0014] FIG. 2 illustrates an exit view of a cable management device (exit manifold), according to an embodiment;

[0015] FIG. 3 illustrates a top view of one or more guide cavities within the cable management device, according to an embodiment;

[0016] FIG. 4 illustrates a perspective view of the cable management device, according to an embodiment, according to an embodiment;

[0017] FIG. 5 illustrates an exploded view of the cable management device, according to an embodiment;

[0018] FIG. 6 illustrates a perspective view of a control system including a cable guidance device (entry manifold), according to an embodiment;

[0019] FIG. 7 illustrates an exploded view of the cable guidance device, according to an embodiment, according to an embodiment;

[0020] FIG. 8 illustrates a perspective views of the control system including the cable management device and cable guidance device in combination;

[0021] FIG. 9 illustrates examples of cable and instrument movement enabled by the control system, according to an embodiment;

[0022] FIG. 10 illustrates an example of a pressure-based locking mechanism within the cable management device, according to an embodiment; and

[0023] FIG. 11 illustrates an example of a roller-based locking mechanism within the cable management device, according to an embodiment.DETAILED DESCRIPTION

[0024] The detailed description set forth below, in connection with the accompanying drawings, is intended as a description of various embodiments, and is not intended to represent the only embodiments in which the disclosure may be practiced. The detailed description includes specific details for the purpose of providing a thorough understanding of the embodiments. However, it will be apparent to those skilled in the art that embodiments of the6134629-0001PV01 / 10076654.1invention can be practiced without these specific details. In some instances, well-known structures and components are shown in simplified form for brevity of description.

[0025] For clarity and ease of explanation, some surfaces and details may be omitted in the present description and figures. In addition, references herein to “top” and “bottom” or “front” and “rear” are relative to the position of the control system for medical and surgical instruments in the respective embodiment, unless specified otherwise. Also, it should be understood that, as used herein, the terms “side,” “top,” “bottom,” “front,” “rear,” “above,” “below,” and the like are used for convenience of understanding to convey the relative positions of various components with respect to each other, and do not imply any specific orientation of those components in absolute terms (e.g., with respect to the external environment or the ground).

[0026] It should also be understood that the various components illustrated herein are not necessarily drawn to scale. In other words, the features disclosed in various embodiments may be implemented using different relative dimensions within and between components than those illustrated in the drawings.

[0027] In modern surgical and medical environments, healthcare professionals rely on an ever-growing number of powered, suction, irrigation, and monitoring instruments — each connected by corresponding cables, tubes, wires, or cords. While these devices are indispensable for patient care, their simultaneous use often results in a disorganized network of lines that clutter the operating space. This condition, commonly referred to as “spaghetti syndrome,” describes the entanglement of cables and tubes around surgical instruments, the operating table, or personnel. Such disorder not only reduces efficiency but also presents significant clinical and safety challenges in maintaining sterility, mobility, and visibility within the sterile field.

[0028] When the arrangement of these components is unmanaged, cables and / or tubes may overlap, twist, or coil during procedures, creating a tangled mass that complicates surgical movements and equipment access. Furthermore, tangled or poorly secured cables increase the risk of pulling or damaging sensitive equipment and may inadvertently compromise sterility when components come into contact with non-sterile surfaces. These inefficiencies not only lengthen procedure times but can also elevate stress levels for surgical staff and potentially increase risks to patient safety.

[0029] With reference generally to FIGS. 1-11, aspects of the present disclosure address these persistent issues by introducing a control system 100 for medical and surgical instruments designed to organize, secure, and manage cables 110 and / or tubes in an orderly manner. The control system 100 can incorporate structured manifolds, locking and guidance mechanisms,7134629-0001PV01 / 10076654.1and retractable features that together can prevent tangling and allow precise cable routing. By maintaining a clean, predictable configuration, the control system can enhance operational efficiency, reduce clutter in the operating environment, and support better infection control.

[0030] All components of the control system 100, including the housing 205, manifolds 210 and 220, and the guidance device 600, may be constructed from autoclavable or chemicalresistant materials to allow repeated sterilization cycles. Surfaces may be smooth or coated with non-stick finishes to facilitate cleaning and prevent debris accumulation.

[0031] FIG. 1 illustrates a perspective view of a control system 100 for organizing medical and surgical instruments. The control system 100 can provide a structured and efficient means for arranging and managing the multiple cables 110 associated with powered and fluid- operated medical tools commonly used in surgical environments. The control system 100 can feature a streamlined, ergonomic design that maximizes workspace while maintaining easy accessibility to each connected instrument. This configuration can allow medical professionals to perform procedures with fewer obstructions and reduced risk of cable entanglement. By centralizing the routing and management of cables 110, the control system 100 enhances workflow efficiency, reduces procedural delays, and maintains a cleaner, safer, and more sterile environment during surgical operations.

[0032] In one embodiment, the control system 100 can include a cable management device 200 comprising a housing 205 defining an exit manifold that includes opposable manifold sections 210, 220 pivotably coupled at hinge 230 and configured to enclose one or more cables 110. A plurality of guide cavities 250 are formed within the housing 205, each guide cavity 250 being configured to receive and route a cable 110 through the cable management device 200. A manifold locking mechanism 240 secures the opposable manifold sections 210, 220 in a closed position around the one or more cables 110, thereby maintaining consistent organization and positioning during use. The cable management device 200 can further include a cable locking mechanism 260 configured to selectively retain the cables 110 within the guide cavities 250, ensuring stability and preventing undesired motion or slippage during procedures.

[0033] The control system 100 can be supported by a support bar 120 that maintains the cable management device 200 in a fixed and ergonomic position relative to the surgical field. The support bar 120 may be coupled to a rotational positioning shaft 130 and associated lateral positioning locking mechanism 140 and rotational positioning locking mechanism 150, allowing the cable management device 200 to be adjusted, tilted, or rotated to match the needs of a given procedure or operator preference. This adjustability can enhance workflow by providing optimal positioning for surgeons and assistants while maintaining cable tension and8134629-0001PV01 / 10076654.1order. The structural configuration of the housing 205, in combination with the hinge 230 and manifold locking mechanism 240, can allow for easy opening and closing in a clamshell manner, simplifying setup and teardown between surgical cases while preserving sterility.

[0034] Through its modular and sterilizable design, the control system 100 can minimize the risk of “spaghetti syndrome,” which is the tangling and disorganization of surgical lines and cables. Each guide cavity 250 can include a pressure retention device 252 that can be a movable pin or plunger 255 and a compressible guiding component (e.g., modular foam insert) 256 and conforms to the shape of a specific cable 110 or instrument line, allowing for precise fit and secure retention. The inclusion of a roller retention device 253 or other components of the cable locking mechanism 260 can permit controlled movement of the cables 110 when necessary and secure fixation when desired. This design provides both flexibility and stability during procedures, accommodating a wide variety of medical instruments and tubing diameters.

[0035] The control system 100 can provide a comprehensive organizational solution for modern surgical environments. By integrating the cable management device 200, the support bar 120, and the associated positioning mechanisms, the system 100 can reduce clutter, enhance visual and physical access to surgical instruments, and improve overall safety and efficiency in the operating room. The adaptable configuration of the housing 205, guide cavities 250, and cable locking mechanism 260 can allow for scalable use across multiple clinical settings, from minimally invasive surgeries to open procedures. The combination of structural rigidity, ergonomic adjustability, and sterilizable materials may ensure that the control system 100 delivers lasting reliability and promotes best practices for cable organization and surgical workflow management.

[0036] FIG. 2 illustrates an exit view of a cable management device 200 (exit manifold), according to an embodiment. The cable management device 200 can include a housing 205 defining an exit manifold configured to manage and organize one or more cables 110 extending outward from the system. As shown, the housing 205 comprises opposable manifold sections 210, 220, which together enclose the cables 110 when the device is in its closed configuration. The opposable manifold sections 210, 220 are aligned along a common interface and may be joined at one side by a joint or hinge 230, allowing rotational movement between open and closed positions. When closed, the opposite side of the housing 205 can be secured by a manifold locking mechanism 240 to maintain the manifolds in tight engagement and to ensure a sealed, organized cable pathway. The cables 110 exit the housing 205 through a series of9134629-0001PV01 / 10076654.1aligned guide cavities 250, which are visible from this exit view and define the routing structure for the cables.

[0037] The exit view of the cable management device 200 demonstrates the relationship between the upper and lower components of the housing 205 when closed. The opposable manifold sections 210, 220 cooperate to define the plurality of guide cavities 250 that extend longitudinally through the housing 205. Each guide cavity 250 is configured to receive a corresponding cable 110, maintaining proper spacing and alignment as the cables pass through the exit manifold. When the manifold locking mechanism 240 is engaged, the opposable manifold sections 210, 220 form a continuous and enclosed passage around each cable 110, effectively preventing tangling, lateral displacement, or unintended movement. The mating surfaces of the opposable manifold sections 210, 220 thereby establish well-defined cable channels that serve as the organizational framework of the cable management device 200.

[0038] FIG. 3 illustrates a top view of one or more guide cavities 250 within the cable management device 200 of the control system 100 for medical and surgical instruments, according to an embodiment. Each guide cavity 250 defines a pathway through which a corresponding cable 110 may be routed, positioned, and retained as it passes through the housing 205 of the device. The guide cavities 250 serve as the primary organizational structure within the cable management device 200, maintaining separation between adjacent cables 110 to prevent tangling or interference during operation.

[0039] As shown, the guide cavities 250 are formed when the opposable manifold sections 210, 220 of the housing 205 are brought together and secured in a closed position by the manifold locking mechanism 240. The interior surfaces of the opposable manifold sections 210, 220 each include corresponding recessed contours that, when mated, define the shape and dimensions of each guide cavity 250. This configuration provides a continuous passage surrounding each cable 110, ensuring that the cables 110 are securely held in place while remaining free to move axially when the cable locking mechanism 260 is disengaged. The precision alignment of these internal contours helps maintain the sterility and integrity of the cables 110, minimizing unwanted lateral motion and contact with external surfaces.

[0040] The guide cavities 250 may vary in size, shape, or cross-sectional geometry to accommodate different types of cables 110, depending on the requirements of the medical or surgical procedure. For example, larger guide cavities 250A may be configured for suction or irrigation tubing, while smaller guide cavities 250B may be configured for electrical or data cables. In some embodiments, the guide cavities 250 can also incorporate modular inserts to customize the internal contour of each passage, providing tailored fits for specific instrument10134629-0001PV01 / 10076654.1lines or tubing diameters. This adaptability can allow the cable management device 200 to support a wide range of medical instruments and to be reconfigured quickly for different procedural setups or user preferences.

[0041] FIGS. 4 and 5 illustrate perspective views of the cable management device 200, according to an embodiment. The cable management device 200 is shown in its assembled configuration, providing a clear view of the interaction between the major structural and support elements that allow the system to be positioned and secured during surgical procedures. The cable management device 200 can be mounted on a support bar 120, which serves as the primary structural member for positioning and stabilizing the device relative to the surgical field.

[0042] As shown, the support bar 120 can be operatively coupled to a rotational positioning shaft 130. The rotational positioning shaft 130 can provide an adjustable joint that allows the cable management device 200 to be rotated or pivoted into a desired orientation. This adjustability enables the surgeon or operating staff to modify the angle or height of the cable management device 200 for optimal access and organization of the cables 110 extending from the connected instruments. The rotational positioning shaft 130 can be selectively fixed in place by a rotational positioning locking mechanism 150, which maintains the chosen orientation once adjusted.

[0043] The rotational positioning shaft 130 can connect directly to the body of the cable management device 200, attaching at or near the rear section of the housing 205. This connection can allow the cable management device 200 to pivot or swivel about a defined axis while remaining securely supported by the support bar 120. In this configuration, the support bar 120, rotational positioning shaft 130, and cable management device 200 can function as an integrated assembly that permits smooth, controlled movement without compromising cable alignment or sterility. This arrangement provides the user with the ability to reposition the device easily, either closer to or farther from the operating site, while keeping the cables 110 organized within the defined guide cavities 250.

[0044] When positioned and locked, the cable management device 200 can remain stable and properly aligned to route cables 110 through the guide cavities 250 and out of the housing 205 in a controlled and predictable manner. The connection between the support bar 120 and the rotational positioning shaft 130 can allow for flexibility in motion, while the connection between the rotational positioning shaft 130 and the cable management device 200 can ensure precise orientation and support of the opposable manifold sections 210, 220. This combination of elements can enhance workflow efficiency by allowing for quick ergonomic adjustments11134629-0001PV01 / 10076654.1during a surgical procedure, ensuring that the cable management device 200 maintains an optimal position relative to the instruments and personnel.

[0045] In certain embodiments, the support bar 120 or mounting structure may include an attachment clamp or locking mechanism configured to couple directly to an operating room table, cart, or similar base structure. This configuration can increase stability during use while allowing the entire control system 100 to be easily repositioned or detached for cleaning or transport between operating suites. The same configuration can also be adapted for nonmedical applications, such as dental, veterinary, or industrial environments requiring organized cable routing and secure mounting.

[0046] FIG. 5 illustrates an exploded view of the cable management device 200, according to an embodiment. This view depicts the internal arrangement and interaction of the principal structural components that form the housing 205, as well as the associated mechanisms that enable controlled cable organization and retention. The exploded configuration of FIG. 5 allows visualization of the relationship between the opposable manifold sections 210, 220, guide cavities 250, manifold locking mechanism 240, cable locking mechanism 260, and hinge 230, all of which cooperate to provide a secure, adjustable, and sterilizable enclosure for one or more cables 110.

[0047] The manifold section 210 can form the upper portion of the housing 205 and serve as a structural cover for enclosing the cables 110 within the cable management device 200. The interior surface of the manifold section 210 can include recessed contours corresponding to the upper halves of the guide cavities 250, which align with matching contours on the manifold section 220 when closed. The manifold section 210 may be constructed from a rigid, sterilizable material such as stainless steel, anodized aluminum, or a high-strength medical polymer. Functionally, the manifold section 210 can act as both a protective cover and a structural element that applies compressive force when engaged by the manifold locking mechanism 240, ensuring that the cables 110 remain properly seated and aligned within the guide cavities 250 during use.

[0048] The manifold section 220 can form the base of the housing 205 and support the lower portions of the guide cavities 250. The manifold section 220 can provide a stable foundation that receives the cables 110 as they are routed through the cable management device 200, guiding them toward the exit point of the control system 100. Like the manifold section 210, the manifold section 220 can be designed with sterilizable materials and precision- machined contours to ensure a tight interface when closed. When assembled, the manifold12134629-0001PV01 / 10076654.1section 220 cooperates with the manifold section 210 to create enclosed channels that securely retain the cables 110 while preventing lateral or rotational movement.

[0049] The hinge 230 can serve as a pivoting connection between the opposable manifold sections 210, 220, enabling the housing 205 to open and close in a clamshell-like manner. The hinge 230 defines the rotational axis of the cable management device 200, allowing the manifold section 210 to swing upward for access and downward for enclosure. The hinge 230 may include a fixed pin or multi-link configuration to ensure smooth motion and precise alignment between the manifold sections 210, 220. During operation, the hinge 230 can allow the user to access the internal guide cavities 250 for placement or adjustment of cables 110, while the manifold locking mechanism 240 on the opposite side ensures secure closure. This combination of hinge and locking system can provide both accessibility and safety, allowing quick manipulation of the device without compromising the organized structure of the cables 110.

[0050] The manifold locking mechanism 240 is configured to secure the opposable manifold sections 210, 220 in a closed position around the cables 110. The manifold locking mechanism 240 may include one or more mechanical latches, clamps, or fasteners that apply uniform compressive force along the interface of the manifolds. When engaged, the manifold locking mechanism 240 ensures the manifolds remain tightly sealed during use, maintaining structural integrity and preventing unintentional opening due to tension in the cables 110. When released, the manifold locking mechanism 240 allows the manifold section 210 to be lifted and pivoted relative to the manifold section 220, permitting easy insertion, removal, or rearrangement of cables 110. This locking and release feature enhances both usability and sterilization efficiency, as it allows the manifolds to be separated for cleaning or maintenance.

[0051] The guide cavities 250 are elongated channels formed by the mating of the opposable manifold sections 210, 220 when the housing 205 is in a closed configuration. Each guide cavity 250 defines a discrete passage for a corresponding cable 110, maintaining proper spacing and alignment to prevent entanglement and ensure smooth cable routing.

[0052] The compressible guiding component 256 cushions the cable 110 and increases friction during locking. The compressible guiding component 256 prevents crimping or deformation of tubing while enhancing grip, particularly when used with the pressure retention device 252. The compressible guiding component may be used to customize the internal contour of the cavity 250, allowing a more precise fit for cables 110 of varying diameters or materials. This modularity enables quick reconfiguration for different surgical setups without requiring a change of the entire cable management device 200. The compressible guiding13134629-0001PV01 / 10076654.1component 256 may be positioned within or adjacent to one or more guide cavities 250, acting as an intermediary between the cable 110 and pin / plunger 255. The compressible guiding component 256 ensures that the cable 110 remains properly seated within the guide cavities 250 while providing a surface suitable for controlled compression and frictional engagement. The compressible guiding component 256 is more compliant than the cable 110 itself and is configured to deform under the normal force applied by the pressure retention device 252. When the pressure retention device 252 exerts a normal force onto the compressible guiding component 256, the component deflects substantially more than the cable 110, thereby maintaining the original cross-sectional shape of the cable 110 while generating sufficient frictional force to prevent movement. The compressible guiding component 256 can be selected to provide an appropriate range of frictional resistance for cables 110 of varying diameters, as long as the frictional force exceeds the applied retraction force. The compressible guiding component 256 may be fabricated from compressible or elastomeric materials such as polyurethane (PU), polystyrene (PS), polyethylene (PE), latex, ethylene-vinyl acetate (EVA), neoprene, thermoplastic elastomers (TPE), thermoplastic polyurethane (TPU), silicone, or other equivalent materials. Such compressible guiding components 256 may be sterilizable or replaceable between procedures.

[0053] The geometry of the guide cavities 250 can vary depending on the type of cable 110 being managed' reventing accidental cable displacement. While the embodiment shown illustrates manual activation of the cable locking mechanism 260, in other embodiments the mechanism may be remotely actuated. For example, a wireless controller such as a footswitch, handheld device, or voice-activated interface may transmit a signal to a receiver within the control system 100 to activate a solenoid, motor, or other actuator configured to engage or disengage the cable 110 automatically. Such configurations allow for hands-free or remote operation, enhancing usability and maintaining sterility during surgical procedures.

[0054] In certain embodiments, the control system 100 may further include a retracting mechanism 272 such as that shown in FIG. 3 configured to apply a constant retractable force to the cables 110. The retracting mechanism may be mechanically coupled to the cable management device 200 and can include a counterweight or a spring-based assembly positioned within or adjacent to the housing 205. The counterweight assists in drawing the cables 110 back toward the exit manifold after use, maintaining a clean and organized configuration. In alternative embodiments, the retracting mechanism 272 may be motor-driven, using an electric, servo, or hydraulic motor to control the retraction rate and applied tension. The motorized configuration can be integrated with a control interface or feedback system to14134629-0001PV01 / 10076654.1enable variable-speed retraction, precise tension control, and automated return of the cables 110 into the housing 205. This constant-tension feature prevents slack accumulation, facilitates quick retraction after procedures, and preserves cable alignment within the guide cavities 250.

[0055] FIG. 6 illustrates a perspective view of a cable guidance device 600 of the control system 100 for medical and surgical instruments, according to an embodiment. The cable guidance device 600 can serve as an entry manifold that organizes and directs one or more cables 110 toward the cable management device 200 described in previous figures. The cable guidance device 600 is designed to maintain the alignment, spacing, and orientation of the cables 110 as they enter the system, preventing tangling or overlap and ensuring smooth transitions between external instrument connections and the internal cable routing structure.

[0056] The cable guidance device 600 can include a guidance base 610, which forms the foundational structure of the entry manifold. The guidance base 610 defines one or more openings, slots, or recesses through which cables 110 are introduced into the system. These openings are arranged to correspond with the guide cavities 250 of the cable management device 200, allowing each cable 110 to follow a consistent, predetermined path from entry to exit. The guidance base 610 may be fabricated from a sterilizable and durable material such as stainless steel, anodized aluminum, or a high-strength polymer suitable for repeated cleaning and sterilization cycles. In some embodiments, the guidance base 610 may also be attached to the support bar 120 to maintain a fixed position relative to the cable management device 200, providing stable alignment during use.

[0057] Extending upward from the guidance base 610 are one or more guidance pillars 620 that define one or more guidance channels 622, which can function to further direct and stabilize the cables 110 as they enter the cable guidance device 600. Each guidance pillar 620 in part defines the guidance channel 622 (e.g., a vertical or angled pathway) that supports the cables 110, ensuring that they are properly spaced and guided into the corresponding guide cavities 250 of the cable management device 200. The guidance pillars 620 may be arranged symmetrically or asymmetrically depending on the number and type of cables 110 being managed. In some embodiments, the guidance pillars 620 may include smooth or low-friction surfaces to minimize wear and facilitate free cable movement, or may be configured with clips, rings, or channels that maintain gentle tension along the cable path. Together, the guidance base 610, guidance pillar(s) 620, and guidance pathway(s) 622 create a structured entry assembly that maintains the orientation and organization of all cables 110 prior to their engagement with the cable management device 200, ensuring seamless integration and reducing the risk of tangling or misalignment.15134629-0001PV01 / 10076654.1

[0058] The geometry of the guidance base 610 and guidance pillars 620 may be modular or adjustable to accommodate different numbers of cables 110. In some embodiments, the entry and exit manifolds may include replaceable sections or inserts that allow for varying cable counts or diameters, providing flexibility for different surgical procedures and tool configurations.

[0059] FIG. 7 illustrates an exploded view of the cable guidance device 600, according to an embodiment. In this embodiment, the guidance pillars 620 are detachably mounted to the guidance base 610, allowing for easy assembly, cleaning, or replacement. When assembled, the guidance pillars 620 can extend from the guidance base 610 to define organized entry guidance pathway(s) or channels 622 through which one or more cables 110 are routed toward the cable management device 200. This modular configuration allows the cable guidance device 600 to accommodate different numbers or diameters of cables 110, ensuring adaptable and reliable guidance into the corresponding guide cavities 250 of the cable management device 200.

[0060] FIG. 8 illustrates a perspective view of the control system 100 including the cable management device 200 and cable guidance device 600 in combination, according to an embodiment. The cable guidance device 600, comprising the guidance base 610, the guidance pillar(s) 620, and the guidance pathway(s) 622 can function as an entry manifold that directs and organizes one or more cables 110 as they enter the system, maintaining alignment and spacing. It should be noted that the guidance pillars 620 may be either static or dynamic. In some embodiments, the guidance pillars 620 can rotate relative to the guidance base 610 through a shaft-and-bearing connection, allowing the pillars 620 to turn as the cables 110 move. This rotation reduces frictional wear on the cable surfaces and facilitates smoother motion and alignment during insertion or retraction. The cable management device 200, including the housing 205 with the opposable manifold sections 210, 220, and guide cavities 250, serves as the exit manifold that encloses, secures, and routes the cables 110 in an orderly manner toward connected instruments. Together, these components form a continuous, structured pathway for cables 110, ensuring smooth transitions, preventing tangling, and maintaining sterility and organization throughout the surgical workspace.

[0061] FIG. 9 illustrates examples of movement of the control system 100 for medical and surgical instruments, showing how the assembly can be repositioned to suit different procedural or ergonomic requirements. The control system 100, supported by the support bar 120 and connected through the rotational positioning shaft 130, is configured to rotate laterally around its axis, allowing the cable management device 200 and cable guidance device 600 to pivot to16134629-0001PV01 / 10076654.1either side of the surgical workspace. The system 100 can also translate forward and backward relative to the operating table, providing depth adjustment for optimal instrument reach. Additionally, the control system 100 can be moved vertically — upward or downward — to accommodate different surgical setups or operator preferences. These combined movements enable precise positioning of the system while maintaining the organization and controlled routing of the cables 110 through the guide cavities 250, ensuring accessibility and efficiency during medical procedures.

[0062] In some embodiments, the retracting mechanism may include built-in tension control to allow smooth and gradual retraction of the cables 110 without sudden jerks. This configuration minimizes mechanical strain on the cables 110 and connected instruments, extending component longevity and maintaining user comfort during procedures.

[0063] FIG. 10 illustrates an example of a pressure-based locking mechanism within the cable management device. In this embodiment, the cable locking mechanism 260 can include the pressure retention device 252 configured to apply a controlled normal force to one or more cables 110 positioned within the guide cavities 250. The pressure retention device 252 may include the movable pin or plunger 256 actuated manually or mechanically to press directly or indirectly (e.g., through foam insert 256) against each cable 110, generating friction that prevents undesired protraction or retraction during use, allowing for variable cable working lengths dependent upon end user preferences. When engaged, this pressure-based system securely fixes the cables 110 in position, maintaining the desired length and tension. When released, the cables 110 are free to move smoothly within the guide cavities 250, allowing for easy adjustment and repositioning. This locking mechanism provides stable, precise control while preserving flexibility and protecting the integrity of the cables 110 during surgical procedures.

[0064] FIG. 11 illustrates an example of a roller-based locking mechanism within the cable management device, according to an embodiment. In this embodiment, the cable locking mechanism 260 can include a roller retention device 253 positioned adjacent to each guide cavity 250. Each roller retention device 253 comprises one or more rollers 254 that contact the surface of the cables 110 as they pass through the guide cavities 250. During normal operation, the rollers rotate freely, allowing smooth protraction and retraction of the cables 110. When the locking function is engaged, the rollers are selectively immobilized by a locking activation mechanism, generating frictional retention that prevents movement of the cables 110. This roller-based configuration provides a precise and gentle means of securing the cables 110, minimizing wear while maintaining reliable positional control. The mechanism ensures17134629-0001PV01 / 10076654.1stability during surgical procedures while enabling quick and controlled release when cable adjustment is required.

[0065] In operation, the cable locking mechanisms 260 shown and / or described in FIGS. 10 and 11 operate by selectively applying a normal force to each cable 110 to restrict its movement. In the pressure-based embodiment, the movable pin or plunger 255 of the pressure retention device 252 protrudes into the foam insert 256, creating friction between the foam surface and the cable 110. In the roller-based embodiment, the rollers 254 remain engaged with the cable 110 at all times; when the locking activation mechanism is engaged, one or more rollers 254 are immobilized, thereby preventing the cable 110 from protracting or retracting. Both embodiments maintain a frictional retention force greater than the applied retraction or extension force, ensuring reliable cable fixation during use.

[0066] The present control system provides numerous advantages over existing cable management methods used in surgical environments. The control system organizes, secures, and manages cables and tubes while maintaining sterility and flexibility, providing significant advantages across surgical, interventional, and diagnostic applications. By securely routing cables and tubes through defined guide cavities and locking mechanisms, the system minimizes tangling, improves access to instruments, and reduces the risk of cross-contamination or accidental cable displacement. The modular and sterilizable design allows for quick reconfiguration between procedures, enhancing workflow efficiency. In addition, the system supports retractable and lockable cable positioning, enabling a customizable setup for a wide range of surgical tools and clinical disciplines.

[0067] It will be understood that the benefits and advantages described above may relate to one embodiment or to several embodiments of the invention. Aspects described in connection with one embodiment are intended to be applicable to the other embodiments, and features of multiple embodiments may be combined to form additional embodiments. The disclosed embodiments are not limited to those that solve any or all of the stated problems or that provide any or all of the stated benefits and advantages.

[0068] The preceding detailed description is exemplary in nature and is not intended to limit the invention or its applications. The described embodiments are not limited to use with specific surgical systems, instruments, or environments. Although the present embodiments are, for ease of explanation, described in the context of operating rooms, it will be appreciated that the control system can be implemented in various clinical, dental, veterinary, or industrial settings requiring organized management of cables or tubing. Furthermore, there is no intention18134629-0001PV01 / 10076654.1to be bound by any particular theory presented herein, and the figures are provided for illustrative purposes only.19134629-0001PV01 / 10076654.1

Claims

CLAIMS1. A cable management device for organizing medical and surgical instruments, comprising: a housing defining an exit manifold including opposable manifold sections configured to enclose one or more cables; a plurality of guide cavities formed within the housing, each guide cavity configured to receive and route the one or more cables; a manifold locking mechanism configured to secure the opposable manifold sections in a closed position around the one or more cables; and a cable locking mechanism configured to selectively retain the one or more cables within the guide cavities.

2. The cable management device of claim 1, further comprising a support structure configured to mount the cable management device in a surgical environment.

3. The cable management device of claim 1, wherein the cable locking mechanism comprises a pressure retention device configured to apply a force to the one or more cables within the guide cavities.

4. The cable management device of claim 3, wherein the pressure retention device comprises a movable pin or plunger configured to extend into the guide cavity to apply a normal force against the one or more cables, the normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released.

5. The cable management device of claim 4, wherein the pressure retention device interfaces with an intermediary compressible guiding component to apply appropriate normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released.

6. The cable management device of claim 1, wherein the cable locking mechanism comprises a roller retention device configured to engage the one or more cables to prevent movement when activated.

7. The cable management device of claim 6, wherein the roller retention device comprises at least one roller positioned adjacent to a guide cavity, the roller being rotatable during movement of a cable through the guide cavity and configured to be selectively immobilized by a locking activation mechanism to frictionally retain the cable in place.20134629-0001PV01 / 10076654.

18. The cable management device of claim 1, wherein the exit manifold includes opposable manifold sections that form a clamshell enclosure configured to open and close about a hinge.

9. The cable management device of claim 1, further comprising a modular insert configured to be positioned within one or more of the guide cavities formed in the exit manifold.

10. The cable management device of claim 9, wherein the modular insert is configured to be removable for cleaning, sterilization, or replacement with an insert shaped for a different cable or tube.

11. The cable management device of claim 1, further comprising a retracting mechanism coupled to the one or more cables, the retracting mechanism configured to apply a constant retractable force to draw the cables toward the exit manifold.

12. The cable management device of claim 11, wherein the retracting mechanism comprises a counterweight configured to maintain the constant retractable force on the one or more cables.

13. A control system for medical and surgical instruments, comprising: a cable management device including a housing defining an exit manifold including opposable manifold sections configured to enclose one or more cables, a plurality of guide cavities formed within the housing, each guide cavity configured to receive and route the one or more cables, a manifold locking mechanism configured to secure the opposable manifold sections in a closed position around the one or more cables, and a cable locking mechanism configured to selectively retain the one or more cables within the guide cavities; and a support structure configured to mount the cable management device.

14. The control system of claim 13, wherein the cable locking mechanism comprises a pressure retention device including a movable pin or plunger configured to extend into a guide cavity and apply a normal force against the one or more cables, the normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released.

15. The control system of claim 13, further comprising a retracting mechanism coupled to the one or more cables, the retracting mechanism configured to apply a constant retractable force to draw the cables toward the exit manifold.21134629-0001PV01 / 10076654.

116. A control system for medical and surgical instruments, comprising: a cable management device including a housing defining an exit manifold including opposable manifold sections configured to enclose one or more cables, a plurality of guide cavities formed within the housing, each guide cavity configured to receive and route the one or more cables, a manifold locking mechanism configured to secure the opposable manifold sections in a closed position around the one or more cables, and a cable locking mechanism configured to selectively retain the one or more cables within the guide cavities; a cable guiding device including a guidance base defining an entry manifold, one or more guidance channels extending from the guidance base, each guidance channel configured to receive and route one or more cables toward the cable management device; a first support bar coupled to the cable management device and configured to maintain the exit manifold in a fixed position; and a second support bar coupled to the guidance base and configured to maintain the entry manifold in a fixed orientation relative to the cable management device.

17. The control system of claim 16, wherein the cable locking mechanism comprises a pressure retention device including a movable pin or plunger configured to extend into a guide cavity and apply a normal force against the one or more cables, the normal force being sufficient to generate friction that prevents protraction or retraction of the cables until the pressure retention device is released.

18. The control system of claim 16, further comprising a retracting mechanism coupled to the one or more cables, the retracting mechanism configured to apply a constant retractable force to draw the cables toward the exit manifold.22134629-0001PV01 / 10076654.1

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