Nested Surgical Instrument Drive Mechanism for Cable Management

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Solution Overview

Problem

Existing robotic surgical systems face difficulties in the connection and removal of surgical instruments due to entangled cables and complex engagement mechanisms, which restrict the degrees of freedom and ease of use.

Innovation Solution

The surgical assembly features a nested design with rotatable driving members and actuators, allowing for independent axial movement and reduced cable entanglement, along with a threaded trocar shaft and nut mechanism for easier attachment and detachment of surgical instruments.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If surgical instruments are connected to instrument drive units with traditional engagement mechanisms, then the connection can be made, but the connection and removal process becomes difficult and time-consuming

Engineering Contradiction:
Improveease of instrument attachment and detachmentVSAvoidtime for instrument connection and removal
Core Design Contradiction:
Ease of operationVSLoss of time

Solution Approach 1:

The instrument drive unit is divided into modular components including a drive unit body, instrument receptacle, and interchangeable instrument modules. Each instrument can be independently attached or detached without affecting other instruments, enabling quick exchange through simple alignment and engagement of standardized interfaces.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

A standardized interface mechanism acts as an intermediary between the instrument drive unit and surgical instruments. This interface includes complementary geometric features that guide alignment and enable rapid engagement, serving as a mediator that simplifies the connection process between different components.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Adaptability or versatility

If cables are routed through traditional pathways during instrument rotation, then actuation functions can be transmitted, but cables become entangled

Engineering Contradiction:
Improvedegrees of freedom for surgical instrumentVSAvoidcable entanglement
Core Design Contradiction:
Adaptability or versatilityVSObject-generated harmful factors

Solution Approach 1:

Cables are enclosed within flexible protective sheaths that allow bending and rotation without entanglement. These flexible conduits maintain cable organization while accommodating the full range of motion required for surgical instrument operation, preventing cables from becoming tangled during rotation.

Inventive Principle:
Principle #30Flexible shells and thin films

Solution Approach 2:

Cable routing is reorganized from a planar arrangement to a three-dimensional spatial configuration. Cables are routed through multiple dimensions and levels within the instrument structure, allowing them to move independently in different spatial planes, which prevents entanglement while maintaining adaptability.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Volume of moving object

If the instrument drive unit size is reduced to improve system compactness, then the system becomes more compact, but the mechanism complexity increases

Engineering Contradiction:
Improvesize of instrument drive unitVSAvoidmechanism complexity
Core Design Contradiction:
Volume of moving objectVSDevice complexity

Solution Approach 1:

Components are arranged in a nested configuration where smaller elements are positioned within larger ones. The instrument receptacle is nested within the drive unit body, and internal mechanisms are concentrically arranged, maximizing space utilization and reducing overall volume while maintaining functional simplicity.

Inventive Principle:
Principle #7Nested doll (Nesting)

Solution Approach 2:

Multiple functions are combined into integrated components. The instrument receptacle serves both as a mounting structure and as part of the actuation mechanism, while the interface features simultaneously provide alignment, retention, and actuation functions, reducing the number of separate parts needed.

Inventive Principle:
Principle #5Merging (Combining)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This design enhances the ease of instrument attachment and detachment, reduces cable entanglement, and provides greater freedom of movement for surgical instruments, improving the operational efficiency of robotic surgical systems.

Implementation Method 1

Each actuator may include a cannulated cylindrical portion and an arm extending transversely from the cylindrical portion. The cylindrical portions are concentrically disposed with one another. Each arm may define a threaded passageway extending therethrough. Each driving member of the plurality of driving members may be threadingly coupled to a respective one of the threaded passageways of the plurality of actuators.

Methodology Applied
Scientific EffectThreading: Screw

Data Source

PatentUS11666394B2Surgical instruments, instrument drive units, and surgical assemblies thereof
Publication Date: 2023.06.06 COVIDIEN LP
  • US11666394B2 patent drawing
  • US11666394B2 patent drawing
  • US11666394B2 patent drawing

AI summary

A surgical instrument is configured for coupling with an instrument drive unit that drives an actuation of the surgical instrument and operatively supports the surgical instrument. The surgical instrument includes a housing, an elongate body extending distally from the housing, an end effector extending distally from the elongate body, and a plurality of driven members rotatably disposed within the housing. The plurality of driven members is nested with one another. Each driven member of the plurality of driven members is coupled to a respective cable that is attached to the end effector. The plurality of driven members is configured for engagement with an instrument drive unit.