Surgical instruments comprising a trigger assembly

• US 10,166,060 B2
• Filed: 05/04/2015
• Issued: 01/01/2019
• Est. Priority Date: 08/30/2011
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Johnson, Gregory W., Swayze, Jeffrey S., Harris, Jason L., Stulen, Foster B., Malaviya, Prasanna
• Primary Examiner(s): Fowler, Daniel
• Application Number:
  US14/703,432
• Publication Number:
  US 20150230853A1
• Time in Patent Office: 1,338 Days
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 18/085 Forceps, scissors
• 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 2017/0042 with special provisions for gripping
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A surgical instrument is disclosed. The surgical instrument can include an end effector, a shaft, and a handle. The handle can include a trigger assembly. The trigger assembly can include a first trigger and a second trigger, which are movable as a nested unit during a first actuation of the trigger assembly to affect a first surgical function. The second trigger can be movable away from the first trigger after the first actuation of the trigger assembly and can be movable toward the first trigger during a second actuation of the trigger assembly to affect a second surgical function.

Claims

1. A surgical instrument, comprising:

an end effector, comprising;

a jaw movable between an open position and a closed position; and

a cutting element movable relative to the jaw;

a shaft; and

a handle, wherein the shaft is positioned intermediate the handle and the end effector, and wherein the handle comprises a trigger assembly, comprising;

a first trigger comprising a first pivot portion and a first arm extending from the first pivot portion, wherein the first trigger is movable from an initial position to a final position; and

a second trigger comprising a second pivot portion and a second arm extending from the second pivot portion, wherein the first trigger and the second trigger form a nested unit when the first trigger is in the initial position and are movable as the nested unit during a first actuation of the trigger assembly in which the first trigger moves from the initial position to the final position to affect a first surgical function, wherein a nestable portion of the first arm is nested within the second arm when the first trigger and the second trigger form the nested unit, wherein the second trigger is movable away from the first trigger to unnest the nestable portion of the first arm from the second arm after the first actuation of the trigger assembly and before a second actuation of the trigger assembly, wherein the second trigger is movable toward the first trigger during the second actuation of the trigger assembly to affect a second surgical function, and wherein the second surgical function is different than the first surgical function.

2. The surgical instrument of claim 1, wherein one of the first surgical function and the second surgical function comprises advancement of the cutting element.

3. The surgical instrument of claim 1, wherein the end effector further comprises an electrode.

4. The surgical instrument of claim 1, wherein the end effector comprises an endocutter.

5. The surgical instrument of claim 1, wherein the end effector comprises a stapler.

6. The surgical instrument of claim 1, wherein a force applied to the second trigger during the first actuation of the trigger assembly is configured to move the first trigger in a first direction.

7. The surgical instrument of claim 6, wherein the first trigger further comprises a releasable lock configured to engage a portion of the handle after the first actuation.

8. The surgical instrument of claim 7, wherein the releasable lock is configured to restrain the first trigger as the second trigger moves away from the first trigger.

9. The surgical instrument of claim 8, wherein the handle further comprises a lock cavity positioned and dimensioned to receive the releasable lock after the first actuation of the trigger assembly.

10. The surgical instrument of claim 9, wherein the handle further comprises:

an actuator; and

an arm coupled to the actuator, wherein an actuation of the actuator is configured to move the arm to release the releasable lock from the lock cavity.

11. A surgical instrument, comprising:

an end effector;

a shaft; and

a handle, wherein the shaft is positioned intermediate the handle and the end effector, wherein the handle comprises a trigger assembly, wherein a first actuation of the trigger assembly is configured to affect a first surgical function, wherein a second actuation of the trigger assembly is configured to affect a second surgical function, wherein the second surgical function is different than the first surgical function, and wherein the trigger assembly comprises;

a first trigger movable in a first direction during a first actuation of the trigger assembly, wherein the first trigger comprises a first pivot portion and a first arm extending from the first pivot portion, and wherein the first trigger is movable from an initial position to a final position during the first actuation; and

a second trigger movable with the first trigger during the first actuation of the trigger assembly, wherein the second trigger comprises a second pivot portion and a second arm extending from the second pivot portion, wherein the second trigger is movable in a second direction after the first actuation of the trigger assembly and before the second actuation of the trigger assembly, wherein the second direction is opposite to the first direction, wherein a nestable portion of the first arm and the second arm are nested when the first trigger is in the initial position and during the first actuation of the trigger assembly, and wherein the nestable portion of the first arm and the second arm are unnested during the second actuation of the trigger assembly.

12. The surgical instrument of claim 11, wherein the second trigger is movable in the first direction during the second actuation of the trigger assembly.

13. The surgical instrument of claim 11, wherein the first trigger is restrained during the second actuation of the trigger assembly.

14. The surgical instrument of claim 11, wherein the end effector further comprises an electrode.

15. The surgical instrument of claim 11, wherein the end effector comprises an endocutter.

16. The surgical instrument of claim 11, wherein the end effector comprises a stapler.

17. A surgical instrument, comprising:

an end effector;

a shaft; and

a handle, wherein the shaft is positioned intermediate the handle and the end effector, and wherein the handle comprises a trigger assembly, comprising;

a first trigger comprising a first pivot portion and a first arm extending from the first pivot portion, wherein the first trigger is movable from an initial position to a final position; and

a second trigger comprising a second pivot portion and a second arm extending from the second pivot portion, wherein a nestable portion of the first arm fits at least partially within the second arm when the first trigger is in the initial position and during a first actuation of the trigger assembly in which the first trigger moves from the initial position to the final position to affect a first surgical function, wherein the second arm is movable away from the first arm to remove the nestable portion of the first arm from within the second arm after the first actuation of the trigger assembly and before a second actuation of the trigger assembly, wherein the second arm is movable toward the first arm during a second actuation of the trigger assembly to affect a second surgical function, and wherein the second surgical function is different than the first surgical function.

18. The surgical instrument of claim 17, further comprising means for restraining the first trigger after the first actuation of the trigger assembly.