Electrosurgical instrument with sensor

• US 10,136,938 B2
• Filed: 10/29/2014
• Issued: 11/27/2018
• Est. Priority Date: 10/29/2014
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Sarley, John M., Davison, Mark A., Corbett, Catherine A., Bargemann, Jeff K.
• Primary Examiner(s): Johnson, Nicole F
• Application Number:
  US14/526,974
• Publication Number:
  US 20160120601A1
• Time in Patent Office: 1,490 Days
• Field of Search: 606 51
• 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 2017/00075 Motion
• CPC Class Codes: A61B 2017/2916 pins in guiding slots
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: A61B 2018/00928 by sending a signal to an external energy source
• CPC Class Codes: A61B 2018/00946 slidable
• CPC Class Codes: A61B 2018/00952 rotatable
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

An apparatus comprises a body, a shaft, an end effector and a sensor. The shaft extends distally from the body. The end effector is configured to receive energy from an energy source. The end effector comprises a first jaw and a second jaw. The second jaw is pivotable relative to the first jaw to transition the end effector from an open configuration to a closed configuration. In the closed configuration, the first jaw and second jaw define a closure gap. The sensor is operable to detect when the end effector is in the closed configuration. The sensor is also in communication with the energy source, such that the sensor is operable to communicate a signal to the energy source when the sensor detects the end effector in the closed configuration.

Claims

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

(a) a body;

(b) a shaft extending distally from the body;

(c) an end effector configured to receive energy from an energy source, wherein the end effector comprises;

(i) a first jaw, and

(ii) a second jaw, wherein the second jaw is pivotable relative to the first jaw to transition the end effector from an open configuration to a closed configuration, wherein the first jaw and second jaw define a closure gap between each other when the end effector is in the closed configuration;

(d) a first movable member operatively coupled with the second jaw, wherein the first movable member is configured to move in response to pivoting of the second jaw relative to the first jaw; and

(e) a sensor, wherein the sensor includes a second movable member configured to be engaged by the first movable member, wherein the second movable member is moveable from a first position to a second position in response to movement of the first moveable member when the end effector transitions from the open configuration to the closed configuration,

wherein the sensor is operable to detect that the end effector is in the closed configuration when the second movable member moves to the second position, wherein the sensor is in communication with the energy source, wherein the sensor is operable to communicate a signal to the energy source when the sensor detects the end effector in the closed configuration.

2. The apparatus of claim 1, wherein the sensor is positioned within the body.

3. The apparatus of claim 2, wherein the sensor is associated with an end effector actuation assembly, wherein the sensor is positioned to be actuated by motion of the end effector actuation assembly.

4. The apparatus of claim 1, wherein the sensor is positioned within the end effector.

5. The apparatus of claim 4, wherein the sensor is positioned within the end effector adjacent to at least a portion of the second jaw such that the sensor is positioned to be actuated when the second jaw is pivoted to a position corresponding to the closed configuration of the end effector.

6. The apparatus of claim 1, further comprising:

(a) a sensor actuation assembly, wherein the sensor actuation assembly includes the first movable member and is operable to activate the sensor; and

(b) an end effector actuation assembly, wherein the end effector actuation assembly is operable to transition the end effector between the open configuration and the closed configuration,

wherein the sensor actuation assembly is in communication with both the sensor and the end effector actuation assembly.

7. The apparatus of claim 6, wherein the first moveable member is configured to mechanically amplify motion of the end effector actuation assembly.

8. The apparatus of claim 7, wherein the first moveable member comprises at least one of a lever arm or a gear.

9. The apparatus of claim 1, wherein the sensor comprises a switch operable to transition between an open state and a closed state.

10. The apparatus of claim 1, wherein the sensor comprises a hall effect sensor.

11. The apparatus of claim 1, wherein the sensor comprises a rheostat.

12. The apparatus of claim 11, wherein the rheostat comprises a rotatable rheostat driven by a rack and pinion assembly.

13. The apparatus of claim 11, further comprising an integrated circuit, wherein the rheostat is in communication with the end effector such that the resistance of the rheostat is proportional to an angular position of the second jaw, wherein the integrated circuit is configured to identify a position of the second jaw relative to the first jaw based on the resistance of the rheostat.

14. The apparatus of claim 1, wherein the sensor is operable to communicate a signal to the energy source indicating one of the following:

(i) a ready state enabling delivery of RF energy to the first and second jaws, or

(ii) a non-ready state preventing delivery of RF energy to the first and second jaws.

15. The apparatus of claim 1, wherein the sensor is operable to communicate a signal to the energy source that is operable to alter delivery of RF energy to the first and second jaws in response to a change of position of the second jaw relative to the first jaw.

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

(a) a body;

(b) a shaft extending distally from the body;

(c) an end effector configured to receive energy from an energy source, wherein the end effector comprises;

(i) a first jaw, and

(ii) a second jaw, wherein the second jaw is pivotable relative to the first jaw to transition the end effector from an open configuration to a closed configuration, wherein the first jaw and second jaw define a closure gap between each other when the end effector is in the closed configuration; and

(d) a sensor assembly, wherein the sensor assembly comprises;

(i) a sensor having a first moveable member, and

(ii) a sensor actuator associated with the second jaw, wherein the sensor actuator includes a second movable member, wherein the second moveable member is operatively coupled with the second jaw and is positioned to engage the first moveable member,

wherein the second moveable member is configured to actuate the first moveable member when the end effector transitions from the open configuration to the closed configuration,

wherein the sensor is operable to detect that the end effector is in the closed configuration when the first movable member is actuated by the second moveable member,

wherein the second movable member is configured to mechanically amplify motion associated with a transition of the end effector from the open configuration to the closed configuration, wherein the second movable member is configured to actuate the first moveable member through the mechanically amplified motion.

17. The apparatus of claim 16, wherein the sensor assembly further comprises an adjustment assembly, wherein the adjustment assembly is configured to adjust the point at which the second moveable member of the sensor actuator actuates the sensor.

18. The apparatus of claim 17, wherein the adjustment assembly comprises a lead screw with threading, wherein the sensor includes a bore having internal threading corresponding to the threading of the lead screw, wherein the position of the sensor is adjustable by rotating the lead screw.

19. The apparatus of claim 18, further comprising a locking assembly operable to selectively prevent rotation of the lead screw.

20. A method for operating on tissue using an electrosurgical instrument, wherein the electrosurgical instrument comprises a body, a shaft extending from the body, an end effector, a sensor, a lever arm, and a controller, the method comprising:

(a) actuating the end effector from an open position to a closed position to grasp at least some tissue between a first jaw and a second jaw of the end effector;

(b) pivoting the lever arm about a pivot axis so that an end portion of the lever arm engages the sensor as the end effector moves from the open position to the closed position;

(c) sensing with the sensor a gap between the first jaw and the second jaw in response to engagement of the lever arm with the sensor;

(d) communicating a signal to the controller from the sensor based on the sensed gap;

(e) based on the signal, determining that the sensed gap is less than or equal to a maximum allowable gap; and

(f) based on the determination, activating electrodes of the first and second jaws to deliver RF energy to the grasped tissue.