US 11,938,281 B2
Guide apparatus for delivery of an elongate device and methods of use
Matthew D. Inouye, Foster City, CA (US); David W. Bailey, Portola Valley, CA (US); Stephen J. Blumenkranz, Los Altos, CA (US); and Matthew D. Rohr Daniel, San Francisco, CA (US)
Assigned to INTUITIVE SURGICAL OPERATIONS, INC., Sunnyvale, CA (US)
Filed by Intuitive Surgical Operations, Inc., Sunnyvale, CA (US)
Filed on May 26, 2021, as Appl. No. 17/330,693.
Application 17/330,693 is a continuation of application No. 16/315,922, granted, now 11,045,258, previously published as PCT/US2017/041160, filed on Jul. 7, 2017.
Claims priority of provisional application 62/359,957, filed on Jul. 8, 2016.
Prior Publication US 2021/0338340 A1, Nov. 4, 2021
This patent is subject to a terminal disclaimer.
Int. Cl. A61M 25/01 (2006.01); A61B 34/00 (2016.01); A61B 34/20 (2016.01); A61B 34/30 (2016.01); A61B 34/35 (2016.01); A61B 90/00 (2016.01)
CPC A61M 25/01 (2013.01) [A61B 34/20 (2016.02); A61B 34/30 (2016.02); A61B 34/35 (2016.02); A61B 34/71 (2016.02); A61B 2034/2051 (2016.02); A61B 2034/2059 (2016.02); A61B 2034/2061 (2016.02); A61B 2034/301 (2016.02); A61B 2090/364 (2016.02); A61B 2090/371 (2016.02)] 22 Claims
OG exemplary drawing
 
1. An apparatus for guiding an elongated flexible instrument, the apparatus comprising:
a variable-length support assembly including:
a first end;
a second end;
a plurality of support member pairs, each support member pair comprising a first support member linked to a second support member; and
a plurality of eyelets configured to receive the elongated flexible instrument, each of the plurality of eyelets movably coupled to at least one of the support member pairs along a longitudinal central axis between the first end and the second end;
a proximal coupler at the first end of the variable-length support assembly, the proximal coupler configured to couple the variable-length support assembly to an instrument interface portion; and
a proximal arm synchronizing assembly for stabilizing a connection between the proximal coupler and the variable-length support assembly, the proximal arm synchronizing assembly comprising at least one pair of gears, at least one gear of each pair of gears comprising teeth and a guard extending over the teeth;
wherein the variable-length support assembly is configured to selectively transition from a compressed configuration to an expanded configuration along the longitudinal central axis, and wherein the plurality of eyelets are adapted to support the elongated flexible instrument as the elongated flexible instrument is advanced along the longitudinal central axis.