IP Library Granted Patent US 12,329,472
Granted Patent B2
US 12,329,472 · App. 17/561,294 · Granted Jun 17, 2025

Cable length conserving medical instrument

Inventors: Andrew C. Waterbury (Sunnyvale, CA); John Ryan Steger (Sunnyvale, CA); Zhou Ye (Sunnyvale, CA)
Assignee: Intuitive Surgical Operations, Inc.
A61B34/30A61B34/71A61B2017/00323A61B2017/2932A61B2034/305A61B2034/715B25J9/104B25J15/00B25J17/02
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,329,472
App. No.
17/561,294
Granted
Jun 17, 2025
Kind
B2
Abstract

An apparatus includes a wrist, an end effector, a cable pair, and a transmission. A proximal wrist portion is coupled to a distal end portion of a shaft. Actuation of the wrist moves a distal wrist portion relative to the proximal wrist portion. The end effector is coupled to the distal wrist portion, and can be actuated to move relative to the wrist. The transmission is coupled to a proximal end portion of the shaft, and can move an end of the cable pair to actuate the end effector. The end of the cable pair is routed through a transmission cable path within the transmission. The transmission includes an adjustment mechanism having an input portion that receives a force exerted by the end of the cable pair. The adjustment mechanism is configured to change a length of the transmission cable path in response to a change in the force.

Claims (73)

1. A medical instrument comprising:

a drive mechanism;

a first capstan in the drive mechanism;

a shaft extending from the drive mechanism;

an actuated mechanism on the shaft;

a first pair of cables having a first routing in the actuated mechanism and through the shaft to the drive mechanism, the first pair of cables being wound around the first capstan, wherein an actuation of a degree of freedom of the actuated mechanism causes a change in a path length of the first pair of cables in the actuated mechanism; and

a route-altering mechanism in the drive mechanism and engaged with the first pair of cables, wherein during the actuation, the route-altering mechanism autonomously changes a path length of the first pair of cables in the drive mechanism to compensate for the change in the path length of the first pair of cables in the actuated mechanism, the route-altering mechanism including:

a first spindle fixed on a chassis of the drive mechanism,

a first mounting for the first capstan, the first mounting permitting the first capstan to rotate about an axis of the first capstan and permitting the axis of the first capstan to move relative the first spindle, and

a drive coupling connecting the first spindle to the first capstan so that rotation of the first spindle causes the first capstan to rotate.

2. The medical instrument of claim 1 , further comprising:

a second pair of cables having a second routing in the actuated mechanism and through the shaft to the drive mechanism, wherein the actuation of the degree of freedom of the actuated mechanism cause a change in a path length of the second pair of cables in the actuated mechanism, wherein:

the route-altering mechanism further engages the second pair of cables to control a path length of the second pair of cables in the drive mechanism; and

during the actuation, the route-altering mechanism simultaneously increases one of and decreases another of the path length of the first pair of cables in the drive mechanism and the path length of the second pair of cables in the drive mechanism.

3. The medical instrument of claim 2 , wherein the route-altering mechanism comprises:

an arm mounted to rotate about a pivot on a chassis of the drive mechanism;

a first pair of pulleys mounted on the arm and engaged with the first pair of cables; and

a second pair of pulleys mounted on the arm and engaged with the second pair of cables, wherein:

rotation of the arm in a first direction about the pivot increases the path length of the first pair of cables in the drive mechanism and decreases the path length of the second pair of cables in the drive mechanism; and

rotation of the arm in a second direction about the pivot decreases the path length of the first pair of cables in the drive mechanism and increases the path length of the second pair of cables in the drive mechanism.

4. The medical instrument of claim 2 , wherein the route-altering mechanism comprises:

a shuttle mounted to slide along a guide on a chassis of the drive mechanism;

a first pair of pulleys mounted on the shuttle and engaged with the first pair of cables; and

a second pair of pulleys mounted on the shuttle and engaged with the second pair of cables, wherein:

sliding the shuttle in a first direction along the guide increases the path length of the first pair of cables in the drive mechanism and decreases the path length of the second pair of cables in the drive mechanism; and

sliding the shuttle in a second direction along the guide decreases the path length of the first pair of cables in the drive mechanism and increases the path length of the second pair of cables in the drive mechanism.

5. The medical instrument of claim 2 , further comprising:

a second capstan in the drive mechanism, the second pair of cables being wound around the second capstan, wherein the route-altering mechanism comprises:

a second spindle having an axis fixed on the chassis of the drive mechanism;

a second mounting for the second capstan, the second mounting permitting the second capstan to rotate about an axis of the second capstan and permitting the axis of the second capstan to move relative the axis of the second spindle; and

a link connecting the second mounting to the first mounting so that a first movement of the axis of the first capstan causes a second movement of the axis of the second capstan.

6. The medical instrument of claim 5 , further comprising:

a second drive coupling connecting the second spindle to the second capstan so that rotation of the second spindle causes the second capstan to rotate on the axis of the second capstan.

7. The medical instrument of claim 5 , wherein the first movement decreases the path length of the first pair of cables in the drive mechanism and the second movement increases the path length of the second pair of cables in the drive mechanism.

8. The medical instrument of claim 1 , further comprising a spring system coupled to apply a force to the axis of the first capstan that opposes forces that the first pair of cables applies.

9. The medical instrument of claim 1 , wherein the first mounting limits the axis to move on an arc about the first spindle.

10. A medical instrument comprising:

a backend;

a main shaft extending from the backend;

a first pair of cables extending from the backend, through the main shaft, to an actuated mechanism, the first pair of cables being coupled to actuate a first degree of freedom of the actuated mechanism;

a second pair of cables extending from the backend, through the main shaft, to the actuated mechanism, the second pair of cables being coupled to actuate a second degree of freedom of the actuated mechanism; and

a drive mechanism in the backend and coupled to the first and second pairs of cables, the drive mechanism including a route-altering mechanism coupled to alter routings of the first and second pair of cables in response to a tension change induced by a lack of length conservation in paths of the first and second pairs of cable through the shaft to actuate the actuated mechanism, the route-altering mechanism including:

an arm mounted to rotate about a pivot on a chassis of the drive mechanism,

a first pair of pulleys mounted on the arm and engaged with the first pair of cables; and

a second pair of pulleys mounted on the arm and engaged with the second pair of cables, wherein:

rotation of the arm in a first direction about the pivot increases path lengths of the first pair of cables in the drive mechanism and decreases path lengths of the second pair of cables in the drive mechanism; and

rotation of the arm in a second direction about the pivot decreases the path lengths of the first pair of cables in the drive mechanism and increases the path lengths of the second pair of cables in the drive mechanism.

11. A medical instrument comprising:

a backend;

a main shaft extending from the backend;

a first pair of cables extending from the backend, through the main shaft, to an actuated mechanism, the first pair of cables being coupled to actuate a first degree of freedom of the actuated mechanism;

a second pair of cables extending from the backend, through the main shaft, to the actuated mechanism, the second pair of cables being coupled to actuate a second degree of freedom of the actuated mechanism; and

a drive mechanism in the backend and coupled to the first and second pairs of cables, the drive mechanism including a route-altering mechanism coupled to alter routings of the first and second pair of cables in response to a tension change induced by a lack of length conservation in paths of the first and second pairs of cables through the shaft to actuate the actuated mechanism, the route-altering mechanism including:

a shuttle mounted to slide along a guide on a chassis of the drive mechanism,

a first pair of pulleys mounted on the shuttle and engaged with the first pair of cables, and

a second pair of pulleys mounted on the shuttle and engaged with the second pair of cables, wherein:

the tension change sliding the shuttle in a first direction along the guide increases path lengths of the first pair of cables in the drive mechanism and decreases path lengths of the second pair of cables in the drive mechanism, and

the tension change sliding the shuttle in a second direction along the guide decreases the path lengths of the first pair of cables in the drive mechanism and increases the path lengths of the second pair of cables in the drive mechanism.

12. A medical instrument comprising:

a backend;

a main shaft extending from the backend;

a first pair of cables extending from the backend, through the main shaft, to an actuated mechanism, the first pair of cables be coupled to actuate a first degree of freedom of the actuated mechanism;

a second pair of cables extending from the backend, through the main shaft, to the actuated mechanism, the second pair of cables be coupled to actuate a second degree of freedom of the actuated mechanism; and

a drive mechanism in the backend and coupled to the first and second pairs of cables, the drive mechanism including a route-altering mechanism coupled to alter routings of the first and second pair of cables in response to a tension change induced by a lack of length conservation in paths of the first and second pairs of cable through the shaft to actuate the actuated mechanism, the route-altering mechanism including:

a first spindle having an axis fixed on a chassis of the drive mechanism,

a first capstan with a first mounting that permits the first capstan to rotate about an axis of the first capstan and permits the axis of the first capstan to move relative the axis of the first spindle,

a second spindle having an axis fixed on the chassis of the drive mechanism,

a second capstan having a second mounting that permits the second capstan to rotate about an axis of the second capstan and permits the axis of the second capstan to move relative the axis of the second spindle, and

a link connecting the second mounting to the first mounting so that a first movement of the axis of the first capstan causes a second movement of the axis of the second capstan.

13. The medical instrument of claim 12 , further comprising:

a first drive coupling connecting the first spindle to the first capstan so that rotation of the first spindle causes the first capstan to rotate on the axis of the first capstan; and

a second drive coupling connecting the second spindle to the second capstan so that rotation of the second spindle causes the second capstan to rotate on the axis of the second capstan.

14. The medical instrument of claim 12 , wherein the first movement decreases path lengths of the first pair of cables in the drive mechanism and the second movement increases path lengths of the second pair of cables in the drive mechanism.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 14, 2022
From: WATERBURY, ANDREW C.; STEGER, JOHN RYAN; YE, ZHOU
To: INTUITIVE SURGICAL OPERATIONS, INC.
Reel/Frame 058658/0579 →
Continuity (3)
Continuation 16462114
Provisional Application 62424744 · Nov 21, 2016
Related Publication 20220192764A1 · Jun 23, 2022
References Cited (186)
US 2091317A · Hill · 1937 [cited by applicant]
US 2537339A · Meyer et al. · 1951 [cited by applicant]
US 4341144A · Milne · 1982 [cited by applicant]
US 4763531A · Dietrich et al. · 1988 [cited by applicant]
US 4787256A · Cherbuy et al. · 1988 [cited by applicant]
US 4799752A · Carome · 1989 [cited by applicant]
US 4869113A · Sarrazin · 1989 [cited by applicant]
US 5792135A · Madhani et al. · 1998 [cited by applicant]
US 5807377A · Madhani · 1998 [cited by examiner]
US 5876325A · Mizuno et al. · 1999 [cited by applicant]
US 6007550A · Wang et al. · 1999 [cited by applicant]
US 6331181B1 · Tierney et al. · 2001 [cited by applicant]
US 6371952B1 · Madhani et al. · 2002 [cited by applicant]
US 6394998B1 · Wallace et al. · 2002 [cited by applicant]
US 6676684B1 · Morley et al. · 2004 [cited by applicant]
US 6817974B2 · Cooper et al. · 2004 [cited by applicant]
US 6994708B2 · Manzo · 2006 [cited by applicant]
US 7090683B2 · Brock et al. · 2006 [cited by applicant]
US 7169141B2 · Brock et al. · 2007 [cited by applicant]
US 7214230B2 · Brock et al. · 2007 [cited by applicant]
US 7331967B2 · Lee et al. · 2008 [cited by applicant]
US 7371210B2 · Brock et al. · 2008 [cited by applicant]
US 7582055B2 · Komiya et al. · 2009 [cited by applicant]
US 7608083B2 · Lee et al. · 2009 [cited by applicant]
US 7666191B2 · Orban, III et al. · 2010 [cited by applicant]
US 7935130B2 · Williams · 2011 [cited by applicant]
US 8142421B2 · Cooper et al. · 2012 [cited by applicant]
US 8224484B2 · Swarup et al. · 2012 [cited by applicant]
US 8444631B2 · Yeung et al. · 2013 [cited by applicant]
US 8479969B2 · Shelton, IV · 2013 [cited by applicant]
US 8506555B2 · Ruiz Morales · 2013 [cited by applicant]
US 8551115B2 · Steger et al. · 2013 [cited by applicant]
US 8597280B2 · Cooper et al. · 2013 [cited by applicant]
US 8603077B2 · Cooper et al. · 2013 [cited by applicant]
US 8771270B2 · Burbank · 2014 [cited by applicant]
US 8800838B2 · Shelton, IV · 2014 [cited by applicant]
US 8808166B2 · Hosaka · 2014 [cited by applicant]
US 8911471B2 · Spivey et al. · 2014 [cited by applicant]
US 8939963B2 · Rogers et al. · 2015 [cited by applicant]
US 8992565B2 · Brisson et al. · 2015 [cited by applicant]
US 9028494B2 · Shelton, IV et al. · 2015 [cited by applicant]
US 9078684B2 · Williams · 2015 [cited by applicant]
US 9198729B2 · Rogers · 2015 [cited by applicant]
US 9204923B2 · Manzo et al. · 2015 [cited by applicant]
US 9232979B2 · Parihar et al. · 2016 [cited by applicant]
US 9259274B2 · Prisco · 2016 [cited by applicant]
US 9259275B2 · Burbank · 2016 [cited by applicant]
US 9572616B2 · Vaughn · 2017 [cited by applicant]
US 9839439B2 · Cooper et al. · 2017 [cited by applicant]
US 9931106B2 · Au et al. · 2018 [cited by applicant]
US 10130366B2 · Shelton, IV et al. · 2018 [cited by applicant]
US 10219874B2 · Yu et al. · 2019 [cited by applicant]
US 10299873B2 · Hares et al. · 2019 [cited by applicant]
US 10314583B2 · Smith et al. · 2019 [cited by applicant]
US 10357321B2 · Donlon et al. · 2019 [cited by applicant]
US 10470830B2 · Hill et al. · 2019 [cited by applicant]
US 10478256B2 · Shelton, IV et al. · 2019 [cited by applicant]
US 10550918B2 · Cooper et al. · 2020 [cited by applicant]
US 10595948B2 · Solomon et al. · 2020 [cited by applicant]
US 10595949B2 · Donlon et al. · 2020 [cited by applicant]
US 10682141B2 · Moore et al. · 2020 [cited by applicant]
US 10779898B2 · Hill et al. · 2020 [cited by applicant]
US 10806530B2 · Liao et al. · 2020 [cited by applicant]
US 10813706B2 · Chaplin et al. · 2020 [cited by applicant]
US 10932868B2 · Solomon et al. · 2021 [cited by applicant]
US 11013566B2 · Diel et al. · 2021 [cited by applicant]
US 11129686B2 · Chaplin et al. · 2021 [cited by applicant]
US 11241290B2 · Waterbury et al. · 2022 [cited by applicant]
US 11248686B2 · Cooper et al. · 2022 [cited by applicant]
US 11304770B2 · Crews et al. · 2022 [cited by applicant]
US 11517397B2 · Lambrecht et al. · 2022 [cited by applicant]
US 20020111635A1 · Jensen et al. · 2002 [cited by applicant]
US 20050119527A1 · Banik et al. · 2005 [cited by applicant]
US 20060074415A1 · Scott et al. · 2006 [cited by applicant]
US 20060276775A1 · Rosenberg et al. · 2006 [cited by applicant]
US 20070043338A1 · Moll et al. · 2007 [cited by applicant]
US 20070119274A1 · Devengenzo et al. · 2007 [cited by applicant]
US 20070137371A1 · Devengenzo et al. · 2007 [cited by applicant]
US 20070208375A1 · Nishizawa et al. · 2007 [cited by applicant]
US 20070232858A1 · MacNamara et al. · 2007 [cited by applicant]
US 20080009838A1 · Schena et al. · 2008 [cited by applicant]
US 20080046122A1 · Manzo et al. · 2008 [cited by applicant]
US 20080065102A1 · Cooper · 2008 [cited by applicant]
US 20080065105A1 · Larkin et al. · 2008 [cited by applicant]
US 20080087871A1 · Schena et al. · 2008 [cited by applicant]
US 20080103491A1 · Omori et al. · 2008 [cited by applicant]
US 20080196533A1 · Bergamasco et al. · 2008 [cited by applicant]
US 20090088774A1 · Swarup et al. · 2009 [cited by applicant]
US 20090198272A1 · Kerver et al. · 2009 [cited by applicant]
US 20100011900A1 · Burbank et al. · 2010 [cited by applicant]
US 20100175701A1 · Reis et al. · 2010 [cited by applicant]
US 20100198218A1 · Manzo · 2010 [cited by applicant]
US 20100198253A1 · Jinno et al. · 2010 [cited by applicant]
US 20100318101A1 · Choi et al. · 2010 [cited by applicant]
US 20110015650A1 · Choi et al. · 2011 [cited by applicant]
US 20110071543A1 · Prisco et al. · 2011 [cited by applicant]
US 20110118754A1 · Dachs, II et al. · 2011 [cited by applicant]
US 20110184241A1 · Zubiate et al. · 2011 [cited by applicant]
US 20110218551A1 · Devengenzo et al. · 2011 [cited by applicant]
US 20110277775A1 · Holop et al. · 2011 [cited by applicant]
US 20110295269A1 · Swensgard et al. · 2011 [cited by applicant]
US 20110295270A1 · Giordano et al. · 2011 [cited by applicant]
US 20120046522A1 · Naito · 2012 [cited by applicant]
US 20120109186A1 · Parrott et al. · 2012 [cited by applicant]
US 20120123441A1 · Au et al. · 2012 [cited by applicant]
US 20120150192A1 · Dachs et al. · 2012 [cited by applicant]
US 20120289974A1 · Rogers et al. · 2012 [cited by applicant]
US 20120292367A1 · Morgan et al. · 2012 [cited by applicant]
US 20120298719A1 · Shelton, IV et al. · 2012 [cited by applicant]
US 20120330287A1 · Yim · 2012 [cited by applicant]
US 20130046318A1 · Radgowski et al. · 2013 [cited by applicant]
US 20130144395A1 · Stefanchik et al. · 2013 [cited by applicant]
US 20130304084A1 · Beira et al. · 2013 [cited by applicant]
US 20140005662A1 · Shelton, IV · 2014 [cited by applicant]
US 20140005678A1 · Shelton, IV et al. · 2014 [cited by applicant]
US 20140005708A1 · Shelton, IV · 2014 [cited by applicant]
US 20140114327A1 · Boudreaux et al. · 2014 [cited by applicant]
US 20140257333A1 · Blumenkranz · 2014 [cited by applicant]
US 20140309625A1 · Okamoto et al. · 2014 [cited by applicant]
US 20150005786A1 · Burbank · 2015 [cited by applicant]
US 20150150635A1 · Kilroy et al. · 2015 [cited by applicant]
US 20150150636A1 · Hagn et al. · 2015 [cited by applicant]
US 20150157355A1 · Price et al. · 2015 [cited by applicant]
US 20160184034A1 · Holop et al. · 2016 [cited by applicant]
US 20160361049A1 · Dachs, II et al. · 2016 [cited by applicant]
US 20170007345A1 · Smith et al. · 2017 [cited by applicant]
US 20170165017A1 · Chaplin et al. · 2017 [cited by applicant]
US 20180055583A1 · Schuh et al. · 2018 [cited by applicant]
US 20180080533A1 · Awtar · 2018 [cited by applicant]
US 20180116743A1 · Burbank et al. · 2018 [cited by applicant]
US 20180126504A1 · Shelton, IV et al. · 2018 [cited by applicant]
US 20190038282A1 · Shelton, IV et al. · 2019 [cited by applicant]
US 20190117325A1 · Kishi · 2019 [cited by applicant]
US 20190125468A1 · Adams · 2019 [cited by applicant]
US 20190159846A1 · Yates et al. · 2019 [cited by applicant]
US 20190223960A1 · Chaplin et al. · 2019 [cited by applicant]
US 20190231374A1 · Kimura et al. · 2019 [cited by applicant]
US 20190231464A1 · Wixey et al. · 2019 [cited by applicant]
US 20190307522A1 · Lambrecht et al. · 2019 [cited by applicant]
US 20190328467A1 · Waterbury et al. · 2019 [cited by applicant]
US 20200197117A1 · Donlon et al. · 2020 [cited by applicant]
US 20210196413A1 · Inoue · 2021 [cited by applicant]
US 20210372508A1 · Abbott · 2021 [cited by applicant]
US 20220000572A1 · Ragosta et al. · 2022 [cited by applicant]
US 20220128133A1 · Cooper et al. · 2022 [cited by applicant]
US 20230079266A1 · Wixey et al. · 2023 [cited by applicant]
US 20230119001A1 · Abbott · 2023 [cited by applicant]
US 20240156551A1 · Lambrecht et al. · 2024 [cited by applicant]
CN 104116547A · 2014 [cited by applicant]
CN 104799891A · 2015 [cited by applicant]
CN 105163679A · 2015 [cited by applicant]
EP 2362285A2 · 2011 [cited by applicant]
EP 2548529A1 · 2013 [cited by applicant]
EP 2627278A1 · 2013 [cited by applicant]
EP 2783643A1 · 2014 [cited by applicant]
EP 3195993A1 · 2017 [cited by applicant]
JP H06114000A · 1994 [cited by applicant]
JP H10249777A · 1998 [cited by applicant]
JP 2002200091A · 2002 [cited by applicant]
JP 2004337994A · 2004 [cited by applicant]
JP 2005288590A · 2005 [cited by applicant]
WO WO9729690A1 · 1997 [cited by applicant]
WO WO0030557A1 · 2000 [cited by applicant]
WO WO2010009224A1 · 2010 [cited by applicant]
WO WO2010081050A1 · 2010 [cited by applicant]
WO WO2011060046A2 · 2011 [cited by applicant]
WO WO2012064528A1 · 2012 [cited by applicant]
WO WO2012068156A2 · 2012 [cited by applicant]
WO WO2015142290A1 · 2015 [cited by applicant]
WO WO2016161449A1 · 2016 [cited by applicant]
WO WO2016172299A1 · 2016 [cited by applicant]
WO WO2016189284A1 · 2016 [cited by applicant]
WO WO2017064303A1 · 2017 [cited by applicant]
WO WO2017188851A1 · 2017 [cited by applicant]
WO WO2018013313A1 · 2018 [cited by applicant]
WO WO2018049217A1 · 2018 [cited by applicant]
WO WO2018069679A1 · 2018 [cited by applicant]
WO WO2020102776A1 · 2020 [cited by applicant]
WO WO2020102780A1 · 2020 [cited by applicant]
WO WO2020252184A1 · 2020 [cited by applicant]
WO WO2023055684A2 · 2023 [cited by applicant]
Extended European Search Report for Application No. EP17872579.2 mailed on May 29, 2020, 8 pages. [cited by applicant]
International Search Report and Written Opinion for Application No. PCT/US2017/062258, mailed on Mar. 16, 2018, 13 pages. [cited by applicant]
Office Action for CN Application No. 201780083152.4, mailed Sep. 16, 2021, 24 pages. [cited by applicant]
Vertut, J, and Coiffet, P., “Robot Technology: Teleoperation and Robotics Evolution and Development,” English translation, Prentice-Hall, Inc., Inglewood Cliffs, NJ, USA 1986, vol. 3A, 332 pages. [cited by applicant]
Office Action for EP Application No. 17872579.2, mailed Nov. 20, 2023, 04 pages. [cited by applicant]