Medical manipulator

1. A handheld medical manipulator comprising:

an end effector that performs motions with respect to at least two different axes, and that is inserted in a body cavity during operation of the medical manipulator;

a cylindrical motor including a longitudinal axis, the motor driving at least a part of the end effector, the motor remaining outside the body cavity during operation of the medical manipulator and being mounted on at least one bracket and, the motor including a drive mechanism and a drive shaft that extends substantially perpendicular to the longitudinal axis of the motor, the drive shaft including a driven mechanism that engages the drive mechanism of the motor;

a connector shaft that interconnects the bracket and the end effector, a longitudinal axis of the connector shaft extending substantially parallel to the longitudinal axis of the motor; and

a grip handle that is gripped during operation of the medical manipulator, the grip handle being positioned on a proximal side of the medical manipulator.

2. The handheld medical manipulator according to claim 1 ,

wherein the motor is positioned in a first direction, and

wherein the grip handle and the motor are disposed on opposite sides of the longitudinal axis of the connector shaft with respect to a second direction that is substantially perpendicular to the first direction and the longitudinal axis of the connector shaft.

3. The handheld medical manipulator according to claim 2 , wherein the motor and the grip handle are disposed on the medical manipulator proximal of a proximal portion of the connector shaft.

4. The handheld medical manipulator according to claim 1 ,

wherein the drive shaft is a rotator provided for the motor, the motor being disposed in a first direction, the rotator being disposed so as to rotate about a center axis that extends in a second direction that is substantially perpendicular to the first direction and the longitudinal axis of the motor, and the rotator including a driven bevel gear that is driven by a drive bevel gear of the motor;

a flexible member that is partly wrapped around the rotator and passes through the connector shaft so as to transmit motive power to the end effector; and

a guide unit that guides the flexible member to a proximal opening of the connector shaft.

5. The handheld medical manipulator according to claim 4 , wherein the guide unit includes a pulley that includes an axis of rotation that is substantially parallel to the center axis of rotation of the rotator.

6. The handheld medical manipulator according to claim 5 , wherein:

the pulley includes a two-idler structure, the two idlers respectively corresponding to a forward line and a return line, and the two idlers being independently rotatable.

7. The handheld medical manipulator according to claim 4 , wherein:

the rotator is rotatably borne by a pair of bearing members on opposite sides with reference to an area where a corresponding driven bevel gear is provided;

the bracket comprises a motor plate and the motor is fixed to the motor plate which interconnects the pair of bearing members; and

an output shaft of the motor protrudes through a hole provided in the motor plate and is connected to the corresponding driven bevel gear through the corresponding drive bevel gear.

8. The handheld medical manipulator according to claim 7 , further comprising a reinforcement plate that interconnects the pair of bearing members and the motor plate.

9. The handheld medical manipulator according to claim 4 , wherein:

the guide unit and a portion of the rotator around which the flexible member is wound are provided in a cavity of a box into which a proximal portion of the connector shaft opens; and

the rotator is rotatably sealed in an airtight relationship with respect to the cavity.

10. The handheld medical manipulator according to claim 1 , wherein:

the end effector changes a direction when driven by the motor, and the end effector is driven by being mechanically connected to an input unit that is operated by a hand.

11. The handheld medical manipulator according to claim 10 , wherein:

a rod protrudes to a proximal side of the medical manipulator from an inside of the connector shaft, the rod being connected to the input unit, and the rod advancing and retracting in a direction of the connector shaft; and

the rod is mounted so as to advance and retract in relation to the connector shaft and a space with which the connector shaft communicates while maintaining a sealed air-tight relationship with the space.

12. The handheld medical manipulator according to claim 1 , further comprising a trigger lever including a finger ring part disposed adjacent to the grip handle.

13. The handheld medical manipulator according to claim 12 , wherein the trigger lever further comprises a finger holder protrusion attached to a first side of the finger ring part, and a ratchet release that is integral with a ratchet pawl that assists in actuating end effector elements in combination with use of the trigger lever.

14. The handheld medical manipulator according to claim 13 , wherein the ratchet release is disposed within the finger holder protrusion so as to be partly exposed in a first position.

15. A handheld medical manipulator comprising:

an end effector that performs motions with respect to at least two different axes, the end effector having forceps that are inserted in a body cavity during operation of the medical manipulator;

a cylindrical motor having a longitudinal axis, the motor driving at least a part of the end effector, the motor remaining outside the body cavity during operation of the medical manipulator; the motor driving the end effector to change a direction;

a drive shaft that extends substantially perpendicular to the longitudinal axis of the motor, the drive shaft including a driven mechanism that engages the drive mechanism of the motor;

a connector shaft that interconnects the end effector, a longitudinal axis of the connector shaft extending substantially parallel to the longitudinal axis of the motor;

a grip handle that is gripped during operation of the medical manipulator, the grip handle positioned on a proximal side of the medical manipulator, the motor and the grip handle disposed on opposite sides of the connector shaft;

a trigger lever including a finger ring part disposed adjacent to the grip handle that mechanically drives the forceps when operated by a hand.

16. A handheld medical manipulator comprising:

an end effector that performs motions with respect to at least two different axes, the end effector having forceps that are inserted in a body cavity during operation of the medical manipulator;

a cylindrical motor having a longitudinal axis, the motor driving at least a part of the end effector, the motor remaining outside the body cavity during operation of the medical manipulator;

a drive shaft that extends substantially perpendicular to the longitudinal axis of the motor, the drive shaft including a driven mechanism that engages the drive mechanism of the motor;

a connector shaft that interconnects the end effector, a longitudinal axis of the connector shaft extending substantially parallel to the longitudinal axis of the motor;

a grip handle that is gripped during operation of the medical manipulator, the grip handle positioned on a proximal side of the medical manipulator;

wherein the drive shaft is a rotator provided for the motor, the motor being disposed in a first direction, the rotator being disposed so as to rotate about a center axis that extends in a second direction that is substantially perpendicular to the first direction and the longitudinal axis of the motor, and the rotator including a driven bevel gear that is driven by a drive bevel gear of the motor;

a flexible member that is partly wrapped around the rotator and passes through the connector shaft so as to transmit motive power to the end effector; and

a guide unit that guides the flexible member to a proximal opening of the connector shaft.