Granted Patent B2

US 12,447,308 · App. 18/450,159 · Granted Oct 21, 2025

Inventors: Enrique Romo (Dublin, CA); Leo Centeno (East Palo Alto, CA)

Assignee: Auris Health, Inc.

A61M25/005A61B1/00149A61B1/0057A61B1/0058A61B34/30A61M25/0012A61B2034/301A61M25/0023A61M25/0043A61M25/0053A61M2025/0059A61M25/0147

Abstract

Claims (51)

1. An instrument, comprising:

an elongate shaft bendable from a straight state to a curved state;

a set of spiral pull wire lumens disposed within the elongate shaft, the set of spiral pull wire lumens comprising first, second, third, and fourth spiral pull wire lumens that each have a first pitch and a second pitch, wherein the first pitch is different than the second pitch when the elongate shaft is in straight state; and

a set of pull wire segments comprising first, second, third, and fourth pull wire segments disposed within the first, second, third, and fourth spiral pull wire lumens, respectively, each pull wire segment having a proximal portion configured to be manipulated by a robotic input.

2. The instrument of claim 1 , further comprising a plurality of motor-drivable pulleys coupled to the set of pull wire segments and configured to tension each of the set of pull wire segments.

3. The instrument of claim 1 , wherein the set of pull wire segments include a helixed section.

4. The instrument of claim 3 , wherein the set of pull wire segments include at least one longitudinally straight section.

5. The instrument of claim 4 , wherein the at least one longitudinally straight section includes:

a proximal straight section; and

a distal straight section;

wherein the helixed section is disposed between the proximal straight section and the distal straight section.

6. The instrument of claim 3 , wherein the helixed section includes:

a proximal helixed section; and

a distal helixed section disposed adjacent to the proximal helixed section.

7. The instrument of claim 6 , wherein the proximal helixed section has a greater pitch than the distal helixed section.

8. The instrument of claim 1 , wherein the set of pull wire segments are offset from one another by ninety degrees about an axis of the elongate shaft.

9. The instrument of claim 1 , wherein the set of pull wire segments are asymmetrically disposed about an axis of the elongate shaft.

10. The instrument of claim 1 , further comprising a plurality of payload lumens interleaved between adjacent ones of the set of pull wire segments.

11. The instrument of claim 10 , wherein:

the first, second, third, and fourth spiral pull wire lumens are distally closed; and

the plurality of payload lumens are distally open.

12. The instrument of claim 1 , further comprising a longitudinal working channel, the set of pull wire segments disposed radially outside of the working channel.

13. A method of robotically articulating an instrument, the method comprising:

providing an instrument including:

an elongate shaft bendable from a straight state to a curved state;

a set of spiral pull wire lumens disposed within the elongate shaft, the set of spiral pull wire lumens comprising first, second, third, and fourth spiral pull wire lumens that each have a first pitch and a second pitch, wherein the first pitch is different than the second pitch when the elongate shaft is in the straight state;

a set of pull wire segments comprising first, second, third, and fourth pull wire segments disposed within the first, second, third, and fourth spiral pull wire lumens, respectively; and

an instrument base comprising a plurality of robotic drive inputs, each of the plurality of robotic drive inputs being coupled to one or more of the set of pull wire segments;

coupling the instrument base to a robotic end effector, thereby engaging the plurality of robotic drive inputs with a plurality of robotic drive outputs; and

tensioning the set of pull wire segments using the plurality of robotic drive outputs and thereby bending the elongate shaft from the straight state to the curved state.

14. The method of claim 13 , wherein the set of pull wire segments include:

at least one helixed section; and

at least one longitudinally straight section.

15. The method of claim 14 , wherein:

the at least one longitudinally straight section includes:

a proximal straight section; and

a distal straight section;

the at least one helixed section is disposed between the proximal straight section and the distal straight section; and

the at least one helixed section includes:

a proximal helixed section; and

a distal helixed section disposed adjacent to the proximal helixed section.

16. The method of claim 13 , wherein the set of pull wire segments are offset from one another by ninety degrees about an axis of the elongate shaft.

17. An instrument, comprising:

an elongate shaft having a central working channel formed by a cylindrical wall, wherein the elongate shaft is bendable from a straight state to a curved state;

a set of four or more spiral pull wire lumens formed within the cylindrical wall of the elongate shaft, wherein each spiral pull wire lumen has a first pitch and a second pitch that is different than the first pitch when the elongate shaft is in the straight state; and

a set of four or more pull wires disposed within the set of four or more spiral pull wire lumens.

18. The instrument of claim 17 , further comprising a plurality of payload lumens interleaved between adjacent ones of the set of spiral pull wire lumens.

19. The instrument of claim 18 , wherein:

the set of spiral pull wire lumens are distally closed; and

the plurality of payload lumens are distally open.

20. The instrument of claim 1 , wherein the elongate shaft includes a hypotube and an outer jacket, and the set of spiral pull wire lumens is disposed around the hypotube and between the hypotube and the outer jacket.

Assignments (2)

Continuity (5)

References Cited (400)