Electrosurgical instrument with integral tissue removal feature

• US 10,117,706 B2
• Filed: 12/19/2014
• Issued: 11/06/2018
• Est. Priority Date: 12/19/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Rupp, Kip M.
• Primary Examiner(s): Della, Jaymi
• Assistant Examiner(s): Demie, Tigist
• Application Number:
  US14/577,183
• Publication Number:
  US 20160175027A1
• Time in Patent Office: 1,418 Days
• Field of Search: 14 52
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/00976 with scraping means
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

An apparatus for operating on tissue includes an elongate shaft extending distally from a body and an end effector at a distal end of the elongate shaft. The end effector includes a first jaw that is selectively pivotable toward and away from a second jaw to capture tissue and a firing beam. The firing beam is configured to advance relative to the first and second jaws to sever captured tissue and retract relative to the first and second jaws after the captured tissue has been severed. The apparatus further includes a debris removal element in communication with the firing beam. The debris removal element is configured to engage at least a portion of the firing beam at least during retraction of the firing beam relative to the first and second jaws to thereby remove at least some debris from the firing beam.

Claims

1. An apparatus for operating on tissue, the apparatus comprising:

(a) a body;

(b) an elongate shaft, wherein the elongate shaft extends distally from the body, and wherein the elongate shaft comprises at least one lateral opening proximal to a distal end of the elongate shaft; and

(c) an end effector, wherein the end effector is disposed at the distal end of the elongate shaft, and wherein the end effector comprises;

(i) a first jaw,

(ii) a second jaw, wherein the first jaw is selectively pivotable toward and away from the second jaw to capture a tissue, and

(iii) a firing beam configured to advance relative to the first and second jaws to sever the captured tissue and retract relative to the first and second jaws after the captured tissue has been severed;

(d) a debris removal element in communication with the firing beam, wherein the debris removal element is disposed within the elongate shaft proximal to the distal end such that the debris removal element is contained within the elongate shaft adjacent to the at least one lateral opening, wherein the debris removal element is configured to engage at least a portion of the firing beam within the elongate shaft and remove at least a portion of debris from the firing beam at least during retraction of the firing beam relative to the first and second jaws, wherein the at least one lateral opening is configured to receive the debris removed by the debris removal element within the elongate shaft and thereby transfer the removed debris out of the elongate shaft.

2. The apparatus of claim 1, wherein the debris removal element is disposed on the elongate shaft.

3. The apparatus of claim 1, wherein the debris removal element is configured to elastically deform as the debris removal element engages the firing beam.

4. The apparatus of claim 1, wherein the debris removal element comprises a lubricious coating.

5. The apparatus of claim 1, wherein the shaft extends along a longitudinal axis, wherein the debris removal element includes a scraping edge oriented perpendicular to the longitudinal axis.

6. The apparatus of claim 5, wherein the firing beam includes a pair of opposing side walls, wherein the scraping edge is oriented perpendicular relative to the opposing side walls.

7. The apparatus of claim 5, wherein the firing beam includes a pair of opposing side walls, wherein the scraping edge is oriented parallel relative to the opposing side walls.

8. The apparatus of claim 1, wherein the firing beam includes a distal portion, a proximal portion, and an intermediate portion therebetween, wherein the intermediate portion includes a section that includes a height dimension that is less than a height dimension of at least the proximal portion.

9. The apparatus of claim 8, wherein the firing beam further comprises a tapered portion between the intermediate portion and either one of, or both of, the proximal portion and the distal portion.

10. The apparatus of claim 8, wherein the debris removal element is configured to elastically deform when the proximal portion of the firing beam bears against the debris removal element.

11. The apparatus of claim 8, wherein at least a portion of the debris removal element is coincident with the intermediate portion when the firing beam is in a retracted position.

12. The apparatus of claim 8, wherein the intermediate portion is spaced from the debris removal element when the firing beam is in an advanced position.

13. The apparatus of claim 1, wherein the debris removal element further comprises a pair of opposing scraping elements, wherein each of the scraping elements is configured to engage an opposing side of the firing beam.

14. The apparatus of claim 1, wherein at least a portion of the debris removal element is coincident with the at least one lateral opening.

15. An apparatus for operating on tissue, the apparatus comprising:

(a) a body;

(b) an elongate shaft, wherein the elongate shaft extends distally from the body, and wherein the elongate shaft comprises a distal end and an inner wall; and

(c) an end effector, wherein the end effector is disposed at the distal end of the elongate shaft, and wherein the end effector comprises;

(i) a first jaw,

(ii) a second jaw, wherein the first jaw is selectively pivotable toward and away from the second jaw to capture a tissue, and

(iii) a translating element configured to advance relative to the first and second jaws to sever the captured tissue and to retract relative to the first and second jaws after the captured tissue has been severed;

(d) an elastically deformable member disposed between the inner wall of the elongate shaft and the translating element such that the elastically deformable member is located inside the elongate shaft, wherein the elastically deformable member is configured to deform as the translating element advances, wherein the elastically deformable member is configured and positioned to maintain contact with the translating element as the translating element is advanced and retracted through a full range of longitudinal motion from a proximal-most position to a distal-most position such that the elastically deformable member is configured to scrape at least a portion of the translating element,

wherein at least one lateral opening disposed proximal to the distal end of the elongated shaft is configured to receive debris removed by the elastically deformable member within the elongate shaft, and

wherein the elastically deformable member is disposed within the elongate shaft proximal to the distal end such that the elastically deformable member is contained within the elongate shaft adjacent to the at least one lateral opening.

16. The apparatus of claim 15, wherein the elastically deformable member comprises a wedge shaped portion that is configured to act as a ramp to drive the debris away from the translating element.

17. The apparatus of claim 15, wherein the elastically deformable member comprises a lubricious material.

18. An apparatus for operating on tissue, the apparatus comprising:

(a) a body;

(b) an elongate shaft, wherein the elongate shaft extends distally from the body, and wherein the elongate shaft comprises a distal end and at least one lateral opening proximal to the distal end; and

(c) an end effector, wherein the end effector is disposed at the distal end of the elongate shaft, and wherein the end effector comprises;

(i) a first jaw,

(ii) a second jaw, wherein the first jaw is selectively pivotable toward and away from the second jaw to capture a tissue, and

(iii) a slidable blade configured to advance relative to the first and second jaws to sever the captured tissue and retract relative to the first and second jaws after the captured tissue has been severed;

(d) a scraper securely located within the distal end of the elongate shaft, wherein the scraper is in communication with the slidable blade and is configured to engage the slidable blade and thereby remove a portion of debris from the slidable blade during advancement or retraction of the slidable blade relative to the first and second jaws, wherein the at least one lateral opening is configured to receive the portion of debris removed by the scraper within the elongate shaft and thereby transfer the removed debris out of the elongate shaft.

19. The apparatus of claim 18, wherein the scraper is configured to deform within the elongate shaft as the slidable blade advances or retracts.