RF tissue sealer, shear grip, trigger lock mechanism and energy activation

• US 10,092,348 B2
• Filed: 12/22/2014
• Issued: 10/09/2018
• Est. Priority Date: 12/22/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Boudreaux, Chad P.
• Primary Examiner(s): Patton, Amanda
• Application Number:
  US14/579,599
• Publication Number:
  US 20160175030A1
• Time in Patent Office: 1,387 Days
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00438 connectable to a finger
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/146 Scissors

Abstract

A variety of surgical instruments include one or more elements that transmit RF energy to tissue. Some such instruments comprise a pair of jaws that open and close on tissue, with conductive tissue contact surfaces that are operable to weld tissue clamped between the jaws. Some surgical instruments also include a translating tissue cutting element. Some such instruments may be in the form of forceps having a scissor grip. Forceps type instruments may in some instances provide a feature that allows the jaws of the forceps to be locked on tissue, so that the operator can remove his or her hands from the instrument. In such an instrument it may also be desirable to provide a circuit that is activated only when the forceps are closed and sufficient pressure is applied to the tissue between the jaws of the device.

Claims

1. An electrosurgical instrument for operating on tissue, comprising:

a first arm, comprising a first handle and a first jaw;

a second arm pivotally connected to the first arm, the second arm comprising

a second handle;

a second jaw comprising an electrode operable to deliver radio frequency (RF) energy to tissue;

a knife configured to translate within slots defined in the first and second jaws; and

a push plate operably connected to the knife such that a proximal motion of the push plate extends the knife and a distal motion of the push plate retracts the knife; and

a trigger lock mechanism comprising a switch arm pivotally mounted to the first arm, the switch arm comprising a first end and a second end, wherein the first end extends below the first arm and is received by a slot integrated into a lower arm of the switch arm, the trigger lock mechanism configured to prevent the first and second jaws from being opened.

2. The electrosurgical instrument of claim 1, comprising a pull ring integrated into the push plate for operating the knife.

3. The electrosurgical instrument of claim 1, wherein the first end of the switch arm comprises a protrusion.

4. The electrosurgical instrument of claim 1, wherein the slot comprises a guide configured to direct the first end of the switch arm in a distal direction, the slot further comprising a lip at a distal side, the lip configured to prevent the first end of the switch arm from exiting the slot.

5. The electrosurgical instrument of claim 4, wherein the first end of the switch arm comprises a protrusion, and wherein the guide comprises a ramp upon which the protrusion rides.

6. The electrosurgical instrument of claim 1, comprising a lock spring, wherein the second end of the switch arm rests against the lock spring and wherein the lock spring is configured to return the switch arm to a neutral position.

9. The electrosurgical instrument of claim 1, the second arm further comprising an energy button configured to activate the RF energy.

7. An electrosurgical instrument for operating on tissue, comprising:

a first arm, comprising a first handle and a first jaw;

a second arm pivotally connected to the first arm, the second arm comprising;

a second handle;

a second jaw comprising an electrode operable to deliver radio frequency (RF) energy to tissue;

a knife configured to translate within slots defined in the first and second jaws; and

a push plate operably connected to the knife such that a proximal motion of the push plate extends the knife and a distal motion of the push plate retracts the knife; and

a trigger lock mechanism comprising a switch arm pivotally mounted to the first arm, the switch arm comprising a first end and a second end, wherein the first end extends below the first arm, the trigger lock mechanism configured to prevent the first and second jaws from being opened;

wherein the first end of the switch arm comprises a lock button pivotally mounted inside the first handle and wherein the switch arm is movable between a first position and a second position, wherein the second position prevents the switch arm from returning to a neutral position.

8. The electrosurgical instrument of claim 7, wherein the switch arm is configured to prevent the lock button from transitioning between the first position and the second position when the switch arm is in the neutral position.

10. An electrosurgical instrument for operating on tissue, comprising:

a first arm comprising a first handle and a first jaw;

a second arm pivotally connected to the first arm, the second arm comprising;

a second handle;

a second jaw comprising an electrode operable to deliver radio frequency (RF) energy to tissue;

a knife configured to translate within slots defined in the first and second jaws;

a push plate operably connected to the knife such that a proximal motion of the push plate extends the knife and a distal motion of the push plate retracts the knife; and

a trigger lock mechanism configured to prevent the first and second jaws from being opened;

a switch arm; and

a switch arm slot comprising a base;

the second arm further comprising a compression circuit and a compression button for activating the compression circuit, wherein the compression button is located at the base of the switch arm slot and is activated by pressure applied by the switch arm.

11. The electrosurgical instrument of claim 10, comprising a pull ring integrated into the push plate for operating the knife.

12. The electrosurgical instrument of claim 10, wherein the second arm comprises an energy button.

13. The electrosurgical instrument of claim 12, wherein the energy button is configured to activate the RF energy and the compression circuit is configured to enable an end tone.

14. The electrosurgical instrument of claim 12, wherein the RF energy is activated only when both the energy button and the compression circuit are activated simultaneously.

15. The electrosurgical instrument of claim 12, wherein the energy button is configured to activate the RF energy and the compression circuit is configured to activate the RF energy.

16. The electrosurgical instrument of claim 10, wherein the compression circuit is configured to enable the RF energy.

17. An electrosurgical instrument for operating on tissue, comprising:

a first arm comprising a first handle and a first jaw;

a second arm pivotally connected to the first arm, the second arm comprising;

a second handle;

a second jaw comprising an electrode operable to deliver radio frequency (RF) energy to tissue;

a knife configured to translate within slots defined in the first and second jaws;

a pull ring;

a push plate operably connected to the knife such that a proximal motion of the push plate extends the knife and a distal motion of the pull ring retracts the knife;

a compression circuit; and

a compression circuit button configured to activate the compression circuit.

18. The electrosurgical instrument of claim 17, wherein the pull ring is integrated into the push plate for operating the knife.

19. The electrosurgical instrument of claim 17, comprising:

a switch arm pivotally mounted to the first arm, the switch arm comprising a first end and a second end, wherein the first end extends below the first arm; and

a switch arm slot integrated into the second arm and configured to accept the first end of the switch arm;

wherein the compression circuit button is located at a base of the switch arm slot and is activated by pressure applied by the switch arm.

20. The electrosurgical instrument of claim 19, wherein the switch arm is configured to require extra pressure on the first arm for the switch arm to activate the compression circuit button.

21. The electrosurgical instrument of claim 17, comprising an energy button.

22. The electrosurgical instrument of claim 21, wherein the energy button is configured to activate the RF energy and the compression circuit is configured to enable an end tone.

23. The electrosurgical instrument of claim 21, wherein the RF energy is activated only when both the energy button and the compression circuit are activated simultaneously.

24. The electrosurgical instrument of claim 21, wherein the energy button is configured to activate the RF energy and the compression circuit is configured to activate the RF energy.

25. The electrosurgical instrument of claim 17, wherein the compression circuit is configured to enable the RF energy.