Motion amplifier for a steering mechanism of a steerable tool

1. A mechanical transmission system ( 100 , MTS) having a proximal ( 20 ) and distal end ( 40 ), for a longitudinal steerable tube ( 500 ), which MTS ( 100 ): comprises a set of longitudinal members ( 110 , LM) contacting and arranged in a longitudinal direction around a fictive tube ( 180 ) maintained at an essentially constant circumferential and radial position with respect to the fictive tube ( 180 ) and being slidable relative to the fictive tube ( 180 ), and has a transmission bendable proximal part ( 134 , TBPP), transmission bendable distal part ( 130 , TBDP), and transmission shaft region, ( 132 , TSR) between the TBDP ( 130 ) and TBPP ( 134 ) wherein movements of the TBPP ( 134 ) are transmitted to the TBDP ( 130 ) along the TSR ( 132 ) by the LMs ( 110 ), wherein the MTS ( 100 ) comprises a sub-region that is a transmission amplifier region ( 135 , TAR) in which the fictive tube ( 180 ) contains a truncated conical portion in which size of consecutive plane sections of the fictive tube ( 180 ) only gradually increase in the distal ( 40 ) to the proximal ( 20 ) direction, wherein the MTS ( 100 ) is further provided with a set of LM guides ( 300 , 305 , 350 , 350 a ) configured to maintain the LMs ( 110 ) at the essentially constant circumferential and radial position and slidable with respect to the fictive tube ( 180 ), wherein the TAR ( 135 ) is disposed with at least two of said LM guides ( 300 , 305 , 350 , 350 a ) within the truncated conical portion, wherein the TBDP ( 130 ) is configured for movement in at least two different intersecting planes responsive to the movements of the TBPP ( 134 ), wherein the MTS ( 100 ) is further provided with an end effector ( 540 ) at the distal end of the TBDP ( 130 ), wherein the MTS ( 100 ) is configured such that the end effector ( 540 ) is rotationally fixed in relation to the TBDP ( 130 ), and the end effector is rotatable when the TBDP ( 130 ) is in a bent position, by a complementary rotation of the TBPP ( 134 ), wherein each LM guide ( 300 , 305 , 350 , 350 a ) of the set comprises a body provided with a set of discrete channels ( 310 ) each accommodating one or two LMs ( 110 ) which channels are arranged around the fictive tube ( 180 ) and wherein each channel ( 310 ) of the set of channels is formed from a single element in the TAR within the truncated conical portion.

2. The MTS ( 100 ) according to claim 1 , wherein the TAR ( 135 ) is located within the TSR or at least partially within the TBPP.

3. The MTS ( 100 ) according to claim 1 , wherein at least two LM guides in the set are articulated LM guides ( 305 , 305 a ) tandemly arranged in the TBDP ( 130 ) and in the TBPP ( 134 ), each articulated with respect to an adjacent articulated LM guide ( 305 , 305 a ), thereby supporting bending of the LMs ( 110 ) in the TBPP ( 130 ) and in the TBDP ( 134 ).

4. The MTS ( 100 ) according to claim 3 , wherein the articulated LM guides ( 305 , 305 a ) are in pairwise mutual contact through a swivel joint.

5. The MTS ( 100 ) according to claim 3 , wherein the channels ( 310 ) of consecutive articulated LM guides ( 350 a ) increase incrementally in distance from a central (A-A′) axis of the MTS ( 100 ) in the proximal direction and the TAR ( 135 ) is in the TBPP ( 132 ).

6. The MTS ( 100 ) according to claim 1 , wherein at least two LM guides ( 300 , 305 , 350 , 350 a ) in the set disposed in the TAR ( 135 ) truncated conical portion are articulated LM guides ( 305 , 305 a ) tandemly arranged, each articulated with respect to an adjacent articulated LM guide, thereby supporting bending of the LMs ( 110 ) in the TAR truncated conical portion.

7. The MTS ( 100 ) according to claim 1 , wherein at least two of the LM guides in the set are fixed LM guides ( 350 ) tandemly arranged in the TSR ( 132 ) and rotationally fixed with respect to each other.

8. The MTS ( 100 ) according to claim 7 , wherein the channels ( 310 ) of consecutive fixed LM guides ( 350 a ) increase incrementally in distance from a central (A-A′) axis of the MTS ( 100 ) in the proximal direction and the TAR ( 135 ) is in the TSR ( 132 ).

9. The MTS ( 100 ) according to claim 1 , configured to move the TBPP ( 134 ) and TBDP ( 130 ) omni-directionally.

10. A steerable tube ( 500 ) comprising an MTS ( 100 ) as defined in claim 1 .

11. The steerable tube ( 500 ) according to claim 10 , wherein the distal end ( 40 ) is provided with an end effector ( 540 ) that is a gripper, and the proximal end ( 20 ) is provided with a handle ( 550 ) to steer the tube and to control the gripper.

12. A surgical robot comprising the MTS ( 100 ) according to claim 1 .