Cable Length Conserving Medical Instrument Wrist

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Solution Overview

Problem

Existing medical instruments face challenges in conserving cable length during the range of motion of a wrist joint, especially in compact designs where space limitations prevent the implementation of inherently length-conserving cable paths.

Innovation Solution

The implementation of a path-length adjusting drive mechanism in the backend of a medical instrument, which autonomously changes backend cable routings to compensate for distal path length changes, thereby conserving cable length throughout the instrument.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If cables are routed through the wrist joint to enable multiple degrees of freedom, then the wrist can achieve complex motion, but the cable path length changes during actuation causing tension variations

Engineering Contradiction:
Improvewrist degrees of freedomVSAvoidcable tension stability
Core Design Contradiction:
Adaptability or versatilityVSReliability

Solution Approach 1:

The patent applies dynamics by making the cable routing path adjustable rather than fixed. The cable path lengthening mechanism dynamically adapts the cable route in response to wrist joint position changes, allowing the system to maintain optimal cable tension across multiple degrees of freedom while accommodating the complex motion requirements of the wrist

Inventive Principle:
Principle #15Dynamics

2Reliability

If cable paths are routed to minimize length change during actuation, then cable tension is maintained, but the device complexity increases

Engineering Contradiction:
Improvecable tension stabilityVSAvoidcable path routing complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent introduces an intermediary mechanism - the cable path lengthening device - that mediates between the simple fixed routing and the complex dynamic adjustment needs. This intermediary component automatically compensates for cable length changes during wrist actuation, maintaining tension stability without requiring complex pre-planned routing geometries

Inventive Principle:
Principle #24Intermediary (Mediator)

3Volume of moving object

If the instrument is designed to be compact, then it is easier to insert through small incisions, but space limitations prevent implementation of inherently length-conserving cable paths

Engineering Contradiction:
Improveinstrument sizeVSAvoidcable length conservation
Core Design Contradiction:
Volume of moving objectVSReliability

Solution Approach 1:

The patent applies nesting by placing the cable path lengthening mechanism within the compact instrument structure. The mechanism for adjusting cable path length is integrated into the existing instrument components, allowing space-efficient design that maintains cable length conservation capabilities despite the compact size required for minimally invasive insertion

Inventive Principle:
Principle #7Nested doll (Nesting)

Data Source

PatentUS12329472B2Cable length conserving medical instrument
Publication Date: 2025.06.17 INTUITIVE SURGICAL OPERATIONS INC
  • US12329472B2 patent drawing
  • US12329472B2 patent drawing
  • US12329472B2 patent drawing

AI summary

An apparatus includes a wrist, an end effector, a cable pair, and a transmission. A proximal wrist portion is coupled to a distal end portion of a shaft. Actuation of the wrist moves a distal wrist portion relative to the proximal wrist portion. The end effector is coupled to the distal wrist portion, and can be actuated to move relative to the wrist. The transmission is coupled to a proximal end portion of the shaft, and can move an end of the cable pair to actuate the end effector. The end of the cable pair is routed through a transmission cable path within the transmission. The transmission includes an adjustment mechanism having an input portion that receives a force exerted by the end of the cable pair. The adjustment mechanism is configured to change a length of the transmission cable path in response to a change in the force.