IP Library › Granted Patent US 12,127,798
Granted Patent B2
US 12,127,798 · App. 17/192,532 · Granted Oct 29, 2024

Uterine manipulator including position sensor

Inventors: Scott J. Prior (Branford, CT); Nikolai Begg (Wellesley, MA); Arvind Rajagopalan Mohan (Dracut, MA); Kevin R. Slisz (Old Saybrook, CT); Zachary Traina (Verona, NJ)
Assignee: Covidien LP
A61B34/20A61B5/0051A61B17/29A61B17/4241A61B34/35A61B34/37A61B90/39A61B90/50A61B2017/00287A61B2017/00876A61B2017/4225A61B2034/2051A61B2034/2059A61B34/76A61B2090/364A61B2090/374A61B2090/3762A61B2090/3912A61B2090/3937A61B2090/3941A61B2090/3945
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Quick Facts
Patent No.
US 12,127,798
App. No.
17/192,532
Granted
Oct 29, 2024
Kind
B2
Abstract

A uterine manipulator includes a housing and a shaft extending distally from the housing. An end effector assembly is disposed at a distal end portion of the shaft. The end effector assembly includes a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup. A position sensor is supported by the cervical cup. The position sensor is configured to identify a location of the cervical cup.

Claims (59)

1. A uterine manipulator, comprising:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end portion of the shaft, the end effector assembly including a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup;

a position sensor supported by the cervical cup, the position sensor configured to identify a location of the cervical cup; and

at least one magnet supported by the cervical cup, the at least one magnet configured to attract a metal surgical tool to identify the location of the cervical cup.

2. The uterine manipulator of claim 1 , further including a vibrating element supported by the cervical cup, the vibrating element configured to initiate ureter peristalsis.

3. The uterine manipulator of claim 1 , further including a plurality of position sensors arranged at a distal end portion of the cervical cup.

4. The uterine manipulator of claim 3 , wherein the position sensors of the plurality of position sensors are arranged circumferentially around the distal end portion of the cervical cup.

5. The uterine manipulator of claim 3 , wherein the position sensors of the plurality of position sensors are arranged on a distal-facing surface of the cervical cup.

6. A uterine manipulator, comprising:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end portion of the shaft, the end effector assembly including a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup,

a fluorescent tag supported by the cervical cup, the fluorescent tag configured to emit light to identify a location of the cervical cup; and

a vibrating element supported by the cervical cup.

7. The uterine manipulator of claim 6 , wherein the emitted light is non-visible to humans.

8. The uterine manipulator of claim 6 , wherein the fluorescent tag is supported on a distal-facing surface of the cervical cup.

9. The uterine manipulator of claim 6 , wherein the fluorescent tag is arranged circumferentially around a distal-end portion of the cervical cup.

10. The uterine manipulator of claim 6 , wherein the fluorescent tag is passively fluorescent.

11. The uterine manipulator of claim 6 , wherein the fluorescent tag is reactively fluorescent.

12. The uterine manipulator of claim 6 , wherein the fluorescent tag includes a power source configured to activate the fluorescent tag.

13. A robotic system for operating a uterine manipulator, comprising:

at least one robot arm configured to operate a uterine manipulator; and

a display device configured to display images of a patient's anatomy overlaid with images of a position of the uterine manipulator relative to the patient's anatomy,

wherein the uterine manipulator includes:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end portion of the shaft, the end effector assembly including a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup; and

a position sensor supported by the cervical cup, the position sensor configured to identify a location of the cervical cup;

a pad including a plurality of external position sensors, the pad configured to be positioned under the patient, and the pad configured to detect a location of the position sensor supported by the cervical cup.

14. The system of claim 13 , wherein the images of the patient's anatomy are CT scan images.

15. The system of claim 13 , further including a surgical grasping tool supporting a second position sensor, the second position sensor configured to identify a location of the surgical grasping tool.

16. The system of claim 13 , further including a position sensing scope configured to detect a position of the position sensor supported by the cervical cup.

17. The uterine manipulator of claim 13 , further including at least one magnet supported by the cervical cup.

18. A uterine manipulator, comprising:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end portion of the shaft, the end effector assembly including a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup;

a position sensor supported by the cervical cup, the position sensor configured to identify a location of the cervical cup; and

a vibrating element supported by the cervical cup, the vibrating element configured to initiate ureter peristalsis.

19. A robotic system for operating a uterine manipulator, comprising:

at least one robot arm configured to operate a uterine manipulator;

a display device configured to display images of a patient's anatomy overlaid with images of a position of the uterine manipulator relative to the patient's anatomy,

wherein the uterine manipulator includes:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end portion of the shaft, the end effector assembly including a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup; and

a position sensor supported by the cervical cup, the position sensor configured to identify a location of the cervical cup; and

a surgical grasping tool supporting a second position sensor, the second position sensor configured to identify a location of the surgical grasping tool.

20. A robotic system for operating a uterine manipulator, comprising:

at least one robot arm configured to operate a uterine manipulator;

a display device configured to display images of a patient's anatomy overlaid with images of a position of the uterine manipulator relative to the patient's anatomy,

wherein the uterine manipulator includes:

a housing;

a shaft extending distally from the housing;

an end effector assembly disposed at a distal end portion of the shaft, the end effector assembly including a cervical cup and a uterine manipulating tip portion extending distally from the cervical cup; and

a position sensor supported by the cervical cup, the position sensor configured to identify a location of the cervical cup; and

at least one magnet supported by the cervical cup.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 5, 2021
From: PRIOR, SCOTT J.; BEGG, NIKOLAI; RAJAGOPALAN MOHAN, ARVIND; SLISZ, KEVIN R.; TRAINA, ZACHARY
To: COVIDIEN LP
Reel/Frame 055502/0556 →
Continuity (2)
Provisional Application 62986021 · Mar 6, 2020
Related Publication 20210275257A1 · Sep 9, 2021