# US 11,439,474 B2 · Surgical tools with opposing translating gears > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,439,474 B2 - Document ID: US11439474B2 - Status: Granted - Kind: B2 - Application number: 16/170,485 - Filed: 2018-10-25 - Published: 2020-04-30 - Granted: 2022-09-13 - Earliest claimed: 2018-10-25 - Assignees: Cilag GmbH International - Applicants: Ethicon LLC - Inventors: Kris Eren Kallenberger - Web page: https://patentgrep.com/patent/US11439474B2 ## CPC - A61B 34/70: {Manipulators specially adapted for use in surgery} - A61B 34/71: {Manipulators operated by drive cable mechanisms} - A61B 10/00: Instruments for taking body samples for diagnostic purposes (for taking samples of blood A61B5/15); Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements - A61B 17/00: Surgical instruments, devices or methods (A61B18/00 takes precedence; dental tools A61C3/00; eye surgery A61F9/007; ear surgery A61F11/20) - A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)} - A61B 18/00: Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body (eye surgery A61F9/007; ear surgery A61F11/00) - A61B 34/35: for telesurgery - A61B 17/320758: {with a rotating cutting instrument, e.g. motor driven (A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002)} - A61B 2017/00017: {Electrical control of surgical instruments} - A61B 2018/00208: {actively driven, e.g. by a motor} - A61B 2034/302: {specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities} - A61B 2034/305: {Details of wrist mechanisms at distal ends of robotic arms} - A61B 2034/306: {Wrists with multiple vertebrae} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A surgical tool includes a drive housing having a shaft extending distally therefrom, first and second drive members extending distally from the drive housing along the shaft, and first and second translating gears rotationally fixed to the shaft within the drive housing and operatively coupled to the first and second drive members, respectively. First and second drive gears are rotatably mounted within the drive housing to act on the first and second translating gears, respectively. Rotating the first and second drive gears in opposite angular directions causes the first and second translating gears to move axially along the shaft in opposing directions and thereby move the first and second drive members. Rotating the first and second drive gears in a same angular direction causes the first and second translating gears to rotate the shaft about a longitudinal axis. ## Claims ### Claim 1 A surgical tool, comprising: a drive housing having a shaft extending distally therefrom; first and second drive members extending distally from the drive housing along the shaft; first and second translating gears rotationally fixed to the shaft within the drive housing and operatively coupled to the first and second drive members, respectively, the first and second translating gears being coaxially mounted to the shaft and separated from each other along an axis of the shaft; and first and second drive gears rotatably mounted within the drive housing, the first drive gear being arranged to act directly on the first translating gear, and the second drive gear being arranged to act directly on the second translating gear, wherein rotating the first and second drive gears in opposite angular directions causes the first and second translating gears to move axially along the shaft in opposing directions and thereby move the first and second drive members, and wherein rotating the first and second drive gears in a same angular direction causes the first and second translating gears to rotate the shaft about a longitudinal axis. ### Claim 2 (depends on 1) The surgical tool of claim 1, further comprising first and second capstans rotatably mounted within the drive housing, wherein rotation of the first and second capstans causes the first and second drive gears to rotate and act on the first and second translating gears, respectively. ### Claim 3 (depends on 2) The surgical tool of claim 2, further comprising: first and second drive shafts rotatably mounted within the drive housing, wherein the first and second drive gears are coupled to the first and second drive shafts, respectively; first and second driven gears coupled to the first and second drive shafts, respectively; and first and second capstan drive gears coupled to the first and second capstans, respectively, and positioned to mesh with the first and second driven gears, respectively, wherein rotation of the first capstan controls rotation of the first drive shaft and the first drive gear, and wherein rotation of the second capstan controls rotation of the second drive shaft and the second drive gear. ### Claim 4 (depends on 2) The surgical tool of claim 2, wherein the first and second drive gears are coupled to the first and second capstans, respectively. ### Claim 5 (depends on 1) The surgical tool of claim 1, wherein the first and second drive members are positioned within corresponding slots defined longitudinally along all or a portion of the shaft. ### Claim 6 (depends on 1) The surgical tool of claim 1, further comprising: an end effector operatively coupled to a distal end of the elongate shaft; and an articulable wrist that interposes the end effector and the elongate shaft, wherein the first and second drive members extend to the articulable wrist and rotating the first and second drive gears in the opposite angular directions causes the first and second drive members to articulate the articulable wrist. ### Claim 7 (depends on 1) The surgical tool of claim 1, wherein the first and second drive members are internally coupled to the first and second translating gears, respectively. ### Claim 8 (depends on 7) The surgical tool of claim 7, wherein the first drive member provides a first tab receivable within a first slot defined in an inner circumferential surface of the first translating gear, and wherein the second drive member provides a second tab receivable within a second slot defined in an inner circumferential surface of the second translating gear. ### Claim 9 (depends on 1) The surgical tool of claim 1, wherein the first and second drive members are selected from the group consisting of a rod, a shaft, a tube, a band, a cable, a line, a cord, a wire, a rope, a string, a twisted string, and any combination thereof. ### Claim 10 (depends on 1) The surgical tool of claim 1, wherein the shaft defines one or more planar surfaces on its outer circumference, and wherein one or more corresponding planar surfaces are defined on an inner circumference of one or both of the translating gears. ### Claim 11 A method of operating a surgical tool, comprising: positioning the surgical tool adjacent a patient for operation, the surgical tool including: a drive housing having a shaft extending distally therefrom; first and second drive members extending distally from the drive housing along the shaft; first and second translating gears rotationally fixed to the shaft within the drive housing and operatively coupled to the first and second drive members, respectively, the first and second translating gears being coaxially mounted to the shaft and separated from each other along an axis of the shaft; and first and second drive gears rotatably mounted within the drive housing, the first drive gear being arranged to act directly on the first translating gear, and the second drive gear being arranged to act directly on the second translating gear, rotating the first and second drive gears in opposite angular directions and thereby causing the first and second translating gears to move axially along the shaft in opposing directions; moving the first and second drive members axially along the shaft as the first and second translating gears move; and rotating the first and second drive gears in a same angular direction and thereby causing the first and second translating gears to rotate the shaft about a longitudinal axis. ### Claim 12 (depends on 11) The method of claim 11, wherein the surgical tool further includes first and second capstans rotatably mounted within the drive housing, the method further comprising rotating the first and second capstans and thereby rotating the first and second drive gears to act on the first and second translating gears, respectively. ### Claim 13 (depends on 12) The method of claim 12, wherein the surgical tool further includes first and second drive shafts rotatably mounted within the drive housing and the first and second drive gears are coupled to the first and second drive shafts, respectively, first and second driven gears coupled to the first and second drive shafts, respectively, and first and second capstan drive gears coupled to the first and second capstans, respectively, and positioned to mesh with the first and second driven gears, the method further comprising: rotating the first capstan and thereby controlling rotation of the first drive shaft and the first drive gear; and rotating the second capstan and thereby controlling rotation of the second drive shaft and the second drive gear. ### Claim 14 (depends on 12) The method of claim 12, wherein positioning the surgical tool adjacent a patient for operation is preceded by: mounting the drive housing to a tool driver of a robotic manipulator, wherein the drive housing includes first and second drive inputs matable with first and second actuators of the tool driver, and wherein the first and second capstans are coupled to the first and second drive inputs, respectively; and selectively actuating the first and second actuators based on user inputs and thereby rotating the first and second capstans, respectively. ### Claim 15 (depends on 11) The method of claim 11, wherein moving the first and second drive members axially along the shaft comprises slidably moving the first and second drive members within corresponding slots defined longitudinally along all or a portion of the shaft. ### Claim 16 (depends on 11) The method of claim 11, wherein the surgical tool further includes an end effector operatively coupled to a distal end of the elongate shaft, and an articulable wrist that interposes the end effector and the elongate shaft, the first and second drive members extending to the articulable wrist, and wherein moving the first and second drive members axially along the shaft further comprises articulating the articulable wrist as the first and second drive members move. ### Claim 17 (depends on 16) The method of claim 16, further comprising rotating the first and second drive gears in the same angular direction but at different speeds and thereby causing the first and second translating gears to move axially along the shaft in opposing directions and simultaneously causing the first and second translating gears to rotate the shaft about the longitudinal axis. ### Claim 18 (depends on 16) The method of claim 16, wherein the first and second drive members comprise flexible members, the method further comprises: rotating the first drive gear and thereby causing the first translating gear to move axially along the shaft and simultaneously pull the first drive member proximally; articulating the articulable wrist in a first direction as the first drive member is pulled proximally; actuating the second drive gear and thereby causing the second translating gear to place tension on the second drive member; and maintaining tension on the articulable wrist in the first direction with the second drive member. ### Claim 19 (depends on 11) The method of claim 11, further comprising rotationally fixing the first and second translating gears to the shaft by internally coupling the first and second drive members to the first and second translating gears.