Electrosurgical instrument with separate closure and cutting members

• US 10,278,721 B2
• Filed: 07/22/2014
• Issued: 05/07/2019
• Est. Priority Date: 07/22/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Dietz, Timothy G., Mootoo, Mary E., Witt, David A., Huang, Zhifan F.
• Primary Examiner(s): Fowler, Daniel W
• Application Number:
  US14/337,912
• Publication Number:
  US 20140330271A1
• Time in Patent Office: 1,750 Days
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback

Abstract

In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise a pair of jaws, a closure beam, and a cutting member. The closure beam and the cutting member may be releasably coupled together by an interlocking member such that movement of the cutting member may cause the closure beam to also move relative to the jaws and cause the jaws to close and grip tissue, for example. The interlocking member may then unlock, allowing the cutting member to move through the gripped tissue and relative to the closure beam. Additionally, the cutting member and closure beam may be operated by a single trigger, which may be configured to provide haptic feedback to a user at various stages. Further, the jaws may be electrically energized to deliver energy and/or seal the gripped tissue.

Claims

1. An electrosurgical instrument, comprising:

an end effector, comprising;

a first jaw comprising a first electrode; and

a second jaw comprising a second electrode, wherein the first jaw is movable relative to the second jaw between an open configuration and a closed configuration;

a closure member movably positioned relative to the first jaw and the second jaw, wherein the closure member is movable between a proximal position and a distal position during a closure stroke, and wherein the closure member is configured to move the first jaw toward the closed configuration during the closure stroke;

a cutting member movably positioned relative to the first jaw and the second jaw, wherein the cutting member is configured to translate between the first electrode and the second electrode during a cutting stroke, and wherein the cutting member is configured to move relative to the closure member during the cutting stroke; and

a handle comprising a trigger and an actuator, wherein the actuator is operably engagable with the trigger, and wherein an actuation of the actuator is configured to energize the first electrode and the second electrode;

wherein a first channel is defined in the first jaw, and wherein the closure member and the cutting member are movably positioned within the first channel.

2. The electrosurgical instrument of claim 1, wherein a second channel is defined in the second jaw, and wherein the cutting member is movably positioned within the second channel.

3. The electrosurgical instrument of claim 2, wherein the closure member is configured to pivot the first jaw toward the second jaw during the closure stroke.

4. The electrosurgical instrument of claim 1, wherein the trigger is operably coupled to the closure member.

5. The electrosurgical instrument of claim 1, wherein the trigger is operably coupled to the cutting member.

6. The electrosurgical instrument of claim 1, wherein the trigger is selectively coupled to the closure member and the cutting member.

7. An electrosurgical instrument, comprising:

an end effector, comprising;

a first jaw comprising a first electrode; and

a second jaw comprising a second electrode, wherein the first jaw is movable relative to the second jaw between an open configuration and a closed configuration;

a closure member movably positioned relative to the first jaw and the second jaw, wherein the closure member is configured to move the first jaw toward the closed configuration during a closure stroke;

a cutting member movably positioned relative to the first jaw and the second jaw, wherein the cutting member is configured to move between the first electrode and the second electrode during a cutting stroke, and wherein the cutting member and the closure member are selectively movable such that the cutting stroke is independent of the closure stroke; and

a handle comprising an actuator, wherein the actuator is selectively coupled to the cutting member, and wherein movement of the actuator within a range of positions is configured to energize the first electrode and the second electrode;

wherein a first channel is defined in the first jaw, and wherein the closure member and the cutting member are movably positioned within the first channel.

8. The electrosurgical instrument of claim 7, wherein a second channel is defined in the second jaw, and wherein the cutting member is movably positioned within the second channel.

9. The electrosurgical instrument of claim 7, wherein the handle further comprises a haptic feedback generator.

10. An electrosurgical instrument, comprising:

an end effector, comprising;

a first jaw comprising a first electrode; and

a second jaw comprising a second electrode, wherein the first jaw is movable relative to the second jaw between an open configuration and a closed configuration;

a closure member movably positioned relative to the first jaw and the second jaw, wherein the closure member is movable between a proximal position and a distal position during a closure stroke, and wherein the closure member is configured to move the first jaw toward the closed configuration during the closure stroke;

a cutting member movably positioned relative to the first jaw and the second jaw, wherein the cutting member is configured to move along an axis between the first electrode and the second electrode during a cutting stroke, and wherein the cutting member and the closure member are selectively movable such that the cutting stroke is independent of the closure stroke;

a handle comprising a trigger and an actuator, wherein the actuator is operably engagable with the trigger and in signal communication with the first electrode and the second electrode, and wherein an actuation of the actuator is configured to energize the first electrode and the second electrode;

wherein a first channel is defined in the first jaw, and wherein the closure member and the cutting member are movably positioned within the first channel.

11. The electrosurgical instrument of claim 10, further comprising a controller in signal communication with the actuator, the first electrode, and the second electrode.

12. The electrosurgical instrument of claim 10, wherein the handle further comprises a haptic feedback generator.