# US 10,864,006 B2 · Adjustable length laparoscopic instrument

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- Number: US 10,864,006 B2
- Document ID: US10864006B2
- Status: Granted
- Kind: B2
- Application number: 15/692,011
- Filed: 2017-08-31
- Published: 2019-02-28
- Granted: 2020-12-15
- Earliest claimed: 2017-08-31
- Assignees: CareFusion 2200, Inc.
- Applicants: CareFusion 2200, Inc.
- Inventors: Sara Tillman; Andrew VanDeWeghe; Bradley Thomas Williams; Joanna Rosenbaum; Timothy Hussey; Jessica McQuaide; Thomas Wilschke; Jason Cartwright
- Web page: https://patentgrep.com/patent/US10864006B2

## CPC

- A61B 17/2909: {Handles}
- A61B 17/29: Forceps for use in minimally invasive surgery
- A61B 18/085: {Forceps, scissors}
- A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod}
- A61B 17/3201: Scissors (for biopsy A61B10/02)
- A61B 17/3417: {Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating (syringe needles A61M5/32; dilators A61M29/00)}
- A61B 2017/00991: {Telescopic means}
- A61B 2017/2901: {Details of shaft}
- A61B 2017/2902: {characterized by features of the actuating rod}
- A61B 2018/00053: {Mechanical features of the instrument of device}
- A61B 2018/00196: {reciprocating lengthwise}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An adjustable length laparoscopic instrument is provided. The instrument includes a shaft with a shaft distal end and a shaft proximal end. The instrument further includes an actuation rod with an actuation rode distal end and an actuation rod proximal end. The actuation rod is receivable by the shaft such that the actuation rod can translate longitudinally relative to the shaft to actuate an end effector. The instrument further includes a handle configured to hold the shaft and the actuation rod. The handle is configured to cause the actuation rod to translate longitudinally relative to the shaft to actuate the end effector. The instrument further includes a length adjustment mechanism configured to adjust a shaft length. The shaft length is defined between the handle and the shaft distal end.

## Claims

### Claim 1

A laparoscopic instrument comprising:
a shaft comprising a shaft distal end and a shaft proximal end, the shaft comprising shaft teeth that extend along at least a bottom portion of the shaft;
an actuation rod comprising an actuation rod distal end and an actuation rod proximal end, the actuation rod receivable by the shaft such that the actuation rod will translate longitudinally relative to the shaft to actuate an end effector, the actuation rod comprising actuation rod teeth that extend along at least a bottom portion of the actuation rod, the actuation rod teeth located alongside the shaft teeth with the actuation rod located inside the shaft;
a handle configured to hold the shaft and the actuation rod, the handle configured to cause the actuation rod to translate longitudinally relative to the shaft to actuate the end effector; and
a length adjustment mechanism configured to adjust a shaft length, the shaft length defined between the handle and the shaft distal end, the length adjustment mechanism comprising a first gear configured to engage the shaft teeth such that rotation of the first gear translates the shaft longitudinally and a second gear configured to engage the actuation rod teeth such that rotation of the second gear translates the actuation rod longitudinally.

### Claim 2 (depends on 1)

The laparoscopic instrument of claim 1, where the length adjustment mechanism is further configured to simultaneously adjust the shaft length and an actuation rod length using the first gear and the second gear simultaneously, the actuation rod length defined longitudinally between the handle and the distal end of the actuation rod.

### Claim 3 (depends on 1)

The laparoscopic instrument of claim 1, where the length adjustment mechanism is further configured to adjust the actuation rod length using the second gear without changing an end separation distance, the end separation distance defined longitudinally between the shaft distal end and the actuation rod distal end.

### Claim 4 (depends on 1)

The laparoscopic instrument of claim 1, further comprising the end effector, the end effector connected to the shaft distal end and the actuation rod distal end.

### Claim 5 (depends on 1)

The laparoscopic instrument of claim 1, further comprising insulation surrounding the shaft, the insulation comprising an insulation length extending along the shaft, the insulation configured to undergo a corresponding change in the insulation length upon an adjustment of the shaft length.

### Claim 6 (depends on 1)

The laparoscopic instrument of claim 1, where the length adjustment mechanism comprises a gear mechanism configured to engage each of the shaft, the actuation rod, and the handle.

### Claim 7 (depends on 1)

The laparoscopic instrument of claim 1, where:
in a length adjustment configuration, the second gear is configured to be rotated by rotation of the first gear; and
in an end effector actuation configuration, the second gear is configured to be rotated by operation of the handle.

### Claim 8 (depends on 7)

The laparoscopic instrument of claim 7, further comprising a control knob connected to the handle, where rotation of the control knob by a user causes rotation of the first gear.

### Claim 9 (depends on 1)

The laparoscopic instrument of claim 1, where:
in a length adjustment configuration, the first gear is configured to rotate about an axis of rotation of the first gear; and
in an end effector actuation configuration, the first gear is prevented from rotating about the axis of rotation of the first gear.

### Claim 10 (depends on 1)

The laparoscopic instrument of claim 1, where:
the handle comprises a first handle section and a second handle section, the first handle section movable relative to the second handle section; and
the gear mechanism further comprises a gear bracket attached to the first handle section such that, in an end effector actuation configuration, movement of the first handle section relative to the second handle section causes rotation of the gear bracket about the axis of rotation of the first gear.

### Claim 11 (depends on 10)

The laparoscopic instrument of claim 10, where rotation of the gear bracket about the axis of rotation of the first gear causes rotation of the second gear.

### Claim 12 (depends on 10)

The laparoscopic instrument of claim 10, where:
the second gear is a ring gear; and
the gear mechanism further comprises:
a sun gear configured to engage the first gear; and
a plurality of planet gears each mounted to the gear bracket and configured to engage the second gear and the sun gear.