# US 12,178,431 B2 · Instrument roll control

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- Number: US 12,178,431 B2
- Document ID: US12178431B2
- Status: Granted
- Kind: B2
- Application number: 18/073,919
- Filed: 2022-12-02
- Published: 2023-05-04
- Granted: 2024-12-31
- Earliest claimed: 2021-02-17
- Assignees: Auris Health, Inc.
- Applicants: Auris Health, Inc.
- Inventors: Akira Bryan Ueda; Adrian Tyler Hairrell; Andre J. Castillo
- Web page: https://patentgrep.com/patent/US12178431B2

## CPC

- A61B 17/07207: {the staples being applied sequentially}
- A61B 17/221: Gripping devices in the form of loops or baskets {for gripping calculi or similar types of obstructions (surgical snare instruments A61B17/32056)}
- A61B 1/00066: {Proximal part of endoscope body, e.g. handles (A61B1/0052 takes precedence)}
- A61B 1/0052: {Constructional details of control elements, e.g. handles}
- A61B 1/2676: {Bronchoscopes}
- A61B 1/307: for the urinary organs, e.g. urethroscopes or cystoscopes
- A61B 34/30: Surgical robots
- A61B 90/98: using electromagnetic means, e.g. transponders
- A61B 1/00043: {provided with output arrangements}
- A61B 1/00149: {using articulated arms}
- A61B 1/0016: {using motor drive units}
- A61B 1/012: characterised by internal passages or accessories therefor
- A61B 1/05: characterised by the image sensor, e.g. camera, being in the distal end portion
- A61B 1/0676: {at distal tip of an endoscope}
- A61B 1/0684: {using light emitting diodes [LED]}
- A61B 1/07: using light-conductive means, e.g. optical fibres
- A61B 2017/00207: {with hand gesture control or hand gesture recognition}
- A61B 2017/00398: {using powered actuators, e.g. stepper motors, solenoids}
- A61B 2017/0046: {with a releasable handle; with handle and operating part separable}
- A61B 2017/07271: {characterised by its cartridge}
- A61B 2017/2212: {having a closed distal end, e.g. a loop}
- A61B 2034/2051: {Electromagnetic tracking systems}
- A61B 2034/301: {for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes}
- A61B 2034/303: {specifically adapted for manipulations within body lumens, e.g. within lumen of gut, spine, or blood vessels}
- A61B 2090/035: {preventing further rotation}
- A61B 2090/306: {using optical fibres}
- A61B 2090/309: {using white LEDs}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A medical instrument includes an elongate shaft defining a roll axis and a handle coupled to the elongate shaft. The handle includes a robotic drive input operable to rotate the elongate shaft with respect to the handle about the roll axis and a lockout mechanism movable between an engaged position in which the lockout mechanism impedes rotation of the elongate shaft with respect to the handle about the roll axis, and a disengaged position in which the lockout mechanism permits rotation of the elongate shaft with respect to the handle about the roll axis.

## Claims

### Claim 1

A medical instrument comprising:
an elongate shaft defining a roll axis; and
a handle coupled to the elongate shaft, the handle comprising:
a robotic drive input operable to rotate the elongate shaft with respect to the handle about the roll axis;
an axle actuatable by the robotic drive input; and
an axle-retention structure disposed at least partially over the axle and configured to limit rotation of the axle, the axle-retention structure comprising:
a first open annular channel; and
one or more first stopper surfaces exposed within the first open annular channel and configured to limit rotation of the axle.

### Claim 2 (depends on 1)

The medical instrument of claim 1, wherein:
the axle includes a second open annular channel that faces the first open annular channel of the axle-retention structure, the second open annular channel comprising two second stopper surfaces;
the axle includes a radial lock mating channel disposed between the two second stopper surfaces; and
the medical instrument further comprises a lock mechanism configured to mate with the radial lock mating channel of the axle.

### Claim 3 (depends on 2)

The medical instrument of claim 2, wherein the lock mechanism is configured to automatically move from a disengaged position to an engaged position with the radial lock mating channel when the elongate shaft is manually rotated to a predefined angular position about the roll axis.

### Claim 4 (depends on 1)

The medical instrument of claim 1, further comprising:
a shaft gear coupled with a proximal end of the elongate shaft, the shaft gear having a first axis that is transverse with respect to a second axis of the axle; and
a bevel gear having a third axis that is parallel with the second first axis, the bevel gear being in a mesh configuration with the shaft gear;
wherein the bevel gear is coupled to the axle by a belt configured to translate rotational movement of the axle to the bevel gear.

### Claim 5 (depends on 1)

The medical instrument of claim 1, further comprising:
a shaft gear coupled with a proximal end of the elongate shaft, the shaft gear having a first axis that is transverse with respect to a second axis of the axle;
a bevel gear disposed in the handle in a mesh configuration with the axle, the bevel gear being configured to rotate about a third axis that is parallel to the first axis; and
a rod coupled to, and coaxial with, the bevel gear;
wherein the rod is configured to cause rotation of the shaft gear.

### Claim 6 (depends on 1)

The medical instrument of claim 1, wherein the axle-retention structure is fixed to the handle, whereas the axle is rotatable relative to the handle.

### Claim 7 (depends on 1)

The medical instrument of claim 1, wherein the axle includes:
a second open annular channel that is open to the first open annular channel at least in part; and
one or more second stopper surfaces exposed within the second open annular channel and configured to limit rotation of the axle.

### Claim 8 (depends on 7)

The medical instrument of claim 7, further comprising a slider form comprising:
a first portion configured to be slidingly disposed at least partially within the first open annular channel and contact the one or more first stopper surfaces; and
a second portion configured to be slidingly disposed at least partially within the second open annular channel and contact the one or more second stopper surfaces.

### Claim 9

A robotic system comprising:
a robotic manipulator assembly comprising one or more drive outputs and a boss; and
an instrument comprising a handle mountable to the robotic manipulator assembly and an elongate shaft insertable into a patient, the handle comprising:
a plurality of drive inputs;
an axle actuatable by one of the plurality of drive inputs; and
an axle-retention structure disposed at least partially over the axle and configured to limit rotation of the axle, the axle-retention structure comprising:
a first open annular channel; and
one or more first stopper surfaces exposed within the first open annular channel and configured to limit rotation of the axle.

### Claim 10 (depends on 9)

The robotic system of claim 9, wherein the robotic manipulator assembly comprises:
a robotic end effector including a plurality of drive outputs; and
an adapter mountable on the robotic end effector and comprising a plurality of drive couplers and the boss.

### Claim 11 (depends on 9)

The robotic system of claim 9, wherein the boss is configured actuate a lock configured to mate with the axle and restrict rotation of the axle.

### Claim 12

A medical instrument comprising:
an elongate shaft;
a handle coupled to a proximal portion of the elongate shaft;
an axle coupled with the handle, the axle being configured such that rotation of the axle causes the elongate shaft to rotate about an axis of the elongate shaft; and
an axle-retention structure disposed at least partially over the axle and configured to limit rotation of the axle, the axle-retention structure comprising:
a first open annular channel; and
one or more first stopper surfaces exposed within the first open annular channel and configured to limit rotation of the axle.

### Claim 13 (depends on 12)

A medical instrument of claim 12, further comprising and axle catch disposed at least partially within the handle and configured to move between an unlocked position in which the axle catch permits rotation of the axle and a locked position in which the axle catch restricts rotation of the axle, wherein
the axle catch comprises a key configured to engage with a mating feature of the axle; and
when the key is disposed at least partially within the mating feature of the axle, rotation of the axle is restricted.

### Claim 14 (depends on 13)

The medical instrument of claim 13, wherein the key of the axle catch is configured to enter the mating feature of the axle in an axial direction with respect to an axis of the axle.

### Claim 15 (depends on 13)

The medical instrument of claim 13, wherein the axle catch is configured to be actuated in a direction parallel to an axis of the axle.

### Claim 16 (depends on 15)

The medical instrument of claim 15, wherein the axle catch includes one or more alignment pin channels that have axes that are parallel with the axis of the axle and are configured to have respective alignment pins disposed at least partially therein, the respective alignment pins guiding linear translation the axle catch in the direction parallel to the axis of the axle.

### Claim 17 (depends on 13)

The medical instrument of claim 13, wherein the key of the axle catch is configured to enter the mating feature of the axle through a side portion of the axle.

### Claim 18 (depends on 17)

The medical instrument of claim 17, wherein the axle catch is configured to rotate about an axis that is parallel with an axis of the axle.

### Claim 19 (depends on 12)

The medical instrument of claim 12, wherein;
the axle includes a second open annular channel that is open towards the first open annular channel of the axle-retention structure; and
the medical instrument includes an arcuate slider including a first portion configured to slide within the first open annular channel and a second portion configured to slide within the second open annular channel.