# US 10,864,053 B2 · Flexible manipulator > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,864,053 B2 - Document ID: US10864053B2 - Status: Granted - Kind: B2 - Application number: 16/145,258 - Filed: 2018-09-28 - Published: 2019-01-31 - Granted: 2020-12-15 - Earliest claimed: 2016-04-08 - Assignees: Olympus Corporation - Applicants: Olympus Corporation - Inventors: Mitsuaki Hasegawa; Ryoji Hyodo - Web page: https://patentgrep.com/patent/US10864053B2 ## CPC - A61B 34/71: {Manipulators operated by drive cable mechanisms} - A61B 34/30: Surgical robots - A61B 17/29: Forceps for use in minimally invasive surgery - A61B 2017/00327: {with actuating members moving in opposite directions} - A61B 2017/2903: {transferring rotary motion} - A61B 2017/2905: {flexible} - A61B 2017/2929: {with a head rotatable about the longitudinal axis of the shaft} - A61B 2034/301: {for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes} - A61B 2034/715: {Cable tensioning mechanisms for removing slack} - A61B 2090/061: {for measuring dimensions, e.g. length} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical manipulator includes: an elongated flexible portion configured to be inserted into a body; an end effector disposed on a distal end of the elongated flexible portion; a proximal portion coupled to a proximal end of the elongated flexible portion, the proximal portion being configured to generate power for actuating the end effector; at least two wires configured to transmit the power to the end effector; at least two sheaths configured to form a path of each of the wires within the elongated flexible portion; and a rotating mechanism configured such that either a distal end or a proximal end of each of the sheaths rotates relative to the elongated flexible portion about a longitudinal axis of the elongated flexible portion. ## Claims ### Claim 1 A medical manipulator comprising: an elongated flexible tube configured to be inserted into a body; an end effector disposed on a distal end of the elongated flexible tube; a proximal portion coupled to a proximal end of the elongated flexible tube, the proximal portion being configured to generate power for actuating the end effector; at least two wires configured to transmit the power to the end effector; at least two sheaths configured to form a path for each of the at least two wires within the elongated flexible tube; and a rotating mechanism configured such that either a distal end or a proximal end of each of the sheaths rotates relative to the elongated flexible tube about a longitudinal axis of the elongated flexible tube, wherein the rotating mechanism comprises: a distal end member coupled to the distal end of each of the at least two sheaths, the distal end member being configured to be fixed to the elongated flexible tube; a rotating member coupled to the proximal end of each of the at least two sheaths and the proximal portion, the rotating member being configured to rotate relative to the elongated flexible tube about the longitudinal axis of the elongated flexible tube. ### Claim 2 (depends on 1) The medical manipulator according to claim 1, wherein the rotating mechanism further comprises a lock configured to lock at an arbitrary position of between the rotating member and the elongated flexible tube. ### Claim 3 (depends on 1) The medical manipulator according to claim 1, wherein the rotating member and an inner wall of the elongated flexible tube are rotatably connected to each other in the form of a screw. ### Claim 4 (depends on 1) The medical manipulator according to claim 1, wherein the rotating mechanism is configured such that the path for each of the at least two wires is a spiral of an arbitrary pitch. ### Claim 5 A manipulator comprising: an elongated insertion unit; a movable unit disposed at a distal end of the insertion unit; a drive unit means for generating power to actuate the movable unit, the drive unit means being disposed at a proximal end of the insertion unit; two or more elongated drive-force-transmitting members means for transmitting the power; a flexible path-forming member means for forming, inside the insertion unit, two or more paths through which the two or more drive force-transmitting members means pass in a longitudinal direction, the two or more paths being formed on a radially outer side relative to a center axis of the insertion unit, a distal end of the path-forming member means being configured to be fixed to the insertion unit, and a proximal end of the path-forming member means being rotatable relative to the insertion unit about the center axis; and a rotating portion coupled to the proximal end of the path-forming member means and the drive unit means, the rotating portion being configured to rotate relative to the insertion unit about the center axis. ### Claim 6 (depends on 5) The flexible manipulator according to claim 5, wherein the path-forming member means comprises a plurality of tubular members each having a single inner hole, through which one of the two or more drive force-transmitting members means passes. ### Claim 7 (depends on 5) The flexible manipulator according to claim 5, wherein the path-forming member means comprises a tubular member having a plurality of inner holes, through which the two or more drive force-transmitting members means pass. ### Claim 8 (depends on 5) The flexible manipulator according to claim 5, wherein a distal end of the path-forming member means is fixed between the movable unit and the insertion unit, and a proximal end of the path-forming member means is fixed to the drive unit means. ### Claim 9 (depends on 8) The flexible manipulator according to claim 8, further comprising a lock unit means for locking, at an arbitrary rotation angle position, relative rotation between the insertion unit and the drive unit means about the center axis. ### Claim 10 (depends on 5) The flexible manipulator according to claim 5, wherein the rotating portion is configured such that the proximal end of the path-forming member means rotates relative to the insertion unit about the center axis. ### Claim 11 A medical manipulator comprising: an elongated flexible tube configured to be inserted into a body; an end effector disposed on a distal end of the elongated flexible tube; a proximal portion coupled to a proximal end of the elongated flexible tube, the proximal portion being configured to generate power for actuating the end effector; at least two wires configured to transmit the power to the end effector; at least two sheaths configured to form a path for each of the at least two wires within the elongated flexible tube; and a rotating member coupled to a proximal end of each of the at least two sheaths and the proximal portion, the rotating member being configured to rotate relative to the elongated flexible tube about a longitudinal axis of the elongated flexible tube. ### Claim 12 (depends on 11) The medical manipulator according to claim 11, wherein the rotating member is configured such that the proximal end of each of the at least two sheaths rotates relative to the elongated flexible tube about a longitudinal axis of the elongated flexible tube. ### Claim 13 (depends on 11) The medical manipulator according to claim 11, further comprising a lock configured to lock at an arbitrary position of between the rotating member and the elongated flexible tube. ### Claim 14 (depends on 11) The medical manipulator according to claim 11, wherein the rotating member and an inner wall of the elongated flexible tube are rotatably connected to each other in the form of a screw. ### Claim 15 (depends on 11) The medical manipulator according to claim 11, wherein the path for each of the at least two wires is a spiral of an arbitrary pitch.