ELECTROSURGICAL INSTRUMENT WITH SEPARATE CLOSURE AND CUTTING MEMBERS

• US 20120022525A1
• Filed: 07/22/2010
• Published: 01/26/2012
• Est. Priority Date: 07/22/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Dietz, Timothy G., Mootoo, Mary E., Witt, David A., Huang, Zhifan F.
• Granted Patent: US 8,795,327 B2
• Time in Patent Office: Days
• US Class Current: 606/45
• 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. A surgical instrument, comprising:

an end effector comprising;

a first jaw defining a channel;

a second jaw, wherein the first jaw and the second jaw are operably coupled together such that the first jaw may move between an open position and a closed position with respect to the second jaw;

a closure beam sized and configured to fit at least partially within the channel, wherein the closure beam is configured to translate along the channel between a first position and a second position, wherein the first jaw is at the closed position when the closure beam is at the second position; and

a cutting member sized and configured to fit at least partially within the channel, wherein the cutting member is configured to translate along the channel and with respect to the closure beam.

2. The surgical instrument of claim 1, further comprising an interlocking member configured to selectively hold the cutting member and the closure beam together such that the cutting member and the closure beam translate synchronously with each other in at least one direction with respect to the first jaw.

3. The surgical instrument of claim 2, wherein the interlocking member comprises a pawl rotatably mounted to one of the closure beam and the cutting member.

4. The surgical instrument of claim 2, wherein the interlocking member comprises a nub protruding from the cutting member, wherein the nub is configured to engage the closure beam, and wherein the second jaw further comprises a ramped surface that is configured to move the cutting member away from the closure beam and disengage the nub from the closure beam.

5. The surgical instrument of claim 1, wherein the cutting member is sized and configured to at least partially fit within the closure beam.

6. The surgical instrument of claim 1, wherein the cutting member defines a longitudinal axis, wherein the cutting member protrudes from the closure beam in a direction transverse to the longitudinal axis.

7. The surgical instrument of claim 1, further comprising a handle operably coupled to the end effector, wherein the handle comprises a body and a trigger extending from the body, wherein the trigger is configured to move with respect to the body, and wherein the trigger is operably coupled to the cutting member such that the cutting member translates with respect to the first jaw when the trigger moves with respect to the body.

8. The surgical instrument of claim 7, wherein the trigger is configured to actuate the closure beam and the cutting member such that the closure beam and the cutting member translate with respect to the first jaw.

9. The surgical instrument of claim 7, wherein the handle trigger is configured to provide haptic feedback at predetermined positions of the trigger relative to the handle body.

10. A surgical instrument, comprising:

an end effector comprising;

a first jaw comprising a tissue contacting surface;

a second jaw, wherein the first jaw and the second jaw are operably coupled together such that the first jaw may move between an open position and a closed position with respect to the second jaw;

a closure beam operably contacting the first jaw, wherein the closure beam is configured to translate with respect to the first jaw between a first position and a second position, and wherein the first jaw is urged into the closed position by the closure beam when the closure beam is at the second position; and

a cutting member defining a longitudinal axis, wherein the cutting member is configured to translate with respect to the first jaw between a retracted position and a fully advanced position, and wherein the cutting member is configured to translate with respect to the closure beam;

wherein a plane perpendicular to the longitudinal axis transects the tissue contacting surface, the closure beam, and the cutting member when the closure beam is at the second position and the cutting member is at the fully advanced position.

11. The surgical instrument of claim 10, further comprising an interlocking member configured to selectively hold the cutting member and the closure beam together such that the cutting member and the closure beam translate synchronously with each other in at least one direction with respect to the first jaw.

12. The surgical instrument of claim 11, wherein the interlocking member comprises a pawl rotatably mounted to one of the closure beam and the cutting member.

13. The surgical instrument of claim 11, wherein the interlocking member comprises a nub protruding from the cutting member, wherein the nub is configured to engage the closure beam, and wherein the second jaw further comprises a ramped surface contacting at least a portion of the cutting member.

14. A surgical instrument, comprising:

an end effector comprising;

a first jaw;

a second jaw, wherein the first jaw and the second jaw are operably coupled together such that the first jaw may move between an open position and a closed position with respect to the second jaw;

a closure beam, wherein the closure beam is configured to translate with respect to the first jaw between a first position and a second position, wherein the first jaw is urged into the closed position by the closure beam when the closure beam is at the second position;

a cutting member configured to translate with respect to the first jaw, wherein the cutting member is configured to translate with respect to the closure beam; and

an interlocking member configured to selectively hold the cutting member and the closure beam together such that the cutting member and the closure beam translate synchronously with each other in at least one direction with respect to the first jaw.

15. The surgical instrument of claim 14, further comprising a handle operably coupled to the end effector, wherein the handle comprises a body and a trigger extending from the body, wherein the trigger is configured to move with respect to the body, wherein the trigger is operably coupled to the cutting member such that the cutting member translates with respect to the first jaw when the trigger moves with respect to the body.

16. The surgical instrument of claim 15, wherein the cutting member is configured to translate with respect to the first jaw between a retracted position and a fully advanced position, wherein the trigger is configured to move sequentially between a first position, a second position, and a third position;

wherein the first jaw is at the open position when the trigger is at the first position;

wherein the first jaw is at the closed position when the trigger is at the second position;

wherein the cutting member is at the fully advanced position when the trigger is at the third position.

17. The surgical instrument of claim 16, wherein the end effector further comprises at least one energy delivery surface, wherein trigger is configured to move to an intermediate position sequentially between the second and third positions, wherein the energy delivery surface is energized when the trigger is at the intermediate position.

18. The surgical instrument of claim 14, wherein the interlocking member comprises a pawl rotatably mounted to the closure beam or to the cutting member.

19. The surgical instrument of claim 14, wherein the interlocking member comprises a nub protruding from the cutting member, wherein the nub is configured to engage the closure beam, and wherein the second jaw further comprises a ramped surface contacting at least a portion of the cutting member.

20. The surgical instrument of claim 19, wherein the closure beam comprises a detent that is configured to releasably receive the nub.