Surgical clamping mechanism

• US 5,662,667 A
• Filed: 09/19/1995
• Issued: 09/02/1997
• Est. Priority Date: 09/19/1995
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Knodel, Bryan D.
• Primary Examiner(s): Tucker, Guy V.
• Assistant Examiner(s): PHAM, THUY D
• Application Number:
  US08/530,931
• Time in Patent Office: 714 Days
• Field of Search: 217/175, 217/175.1, 606/151, 606/157
• US Class Current: 606/151
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2934 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/2944 Translation of jaw members

Abstract

A surgical instrument which has a frame, an elongated shaft, an end effector with first and second jaws for clamping tissue, a post cooperatively engaged with the proximal end of the second jaw received in a slot on the sidewall of a channel included as part of the first jaw, a pusher member affixed to the proximal end of the second jaw, and an actuator to effect movement of the pusher member from a forward position to a rearward position, is disclosed. When the pusher member moves rearwardly, the post rides in the slot in the sidewall and the second jaw moves from a closed position where it is adjacent the first jaw for clamping tissue to an open position for placing tissue between the jaws. The combination of cooperating elements of the instrument provides a convenient and simple mechanism for clamping or grasping tissue between the jaws. This mechanism decreases the force necessary to clamp the tissue and utilizes more of the effective length of the second jaw. These benefits in turn make it easier for the user of the instrument to clamp tissue and reduces the tendency of the second jaw to flex or twist during clamping, therefore providing the user with even greater control over the surgical procedure. Overall, the clamping or grasping mechanism incorporated into the surgical instrument provides an attractive alternative to the conventional prior art mechanisms for accomplishing these functions.

Claims

1. A surgical instrument comprising:

a) a rigid frame for gripping said instrument;

b) an elongated shaft extending from said frame and having a distal end;

c) an end effector extending from said shaft distal end, said end effector including first and second jaws each having proximal and distal ends, said jaws movable relative to each other from an open position for receiving bodily tissue therebetween to a closed position for clamping or grasping said tissue, said first jaw including an elongated channel having a base and first and second sidewalls each having proximal and distal ends, said sidewalls extending from said base toward said second jaw, each of said sidewalls having a mutually opposed elongated slot, each of said slots disposed diagonally upwards from a lowermost end adjacent said proximal end of said sidewall to an uppermost end toward said distal end of said sidewall, said second jaw including a tissue-contacting surface;

d) a first post cooperatively engaged with said proximal end of said second jaw, said first post being received within said mutually opposed elongated slots for sliding movement therein;

e) a pusher member at said proximal end of said second jaw and adjacent said tissue-contacting surface, said pusher member being movable from a rearward position to a forward position, wherein when said pusher member is in said rearward position, said first post is positioned at said lowermost ends of said slots and said distal end of said second jaw is rearward of said distal end of said first jaw so as to position said jaws in said open position, and a mechanism for affixing the pusher member and said second jaw so that when said pusher member is moved forwardly from said rearward position to said forward position, said second jaw is moved forwardly in tandem with said pusher member, said first post has traveled to said uppermost ends of said slots, and said distal end of said second jaw is positioned adjacent to said distal end of said first jaw so as to position said jaws in said closed position; and

f) an actuator at least partially housed in said frame and operatively connected to said pusher member in cooperation with said elongated shaft to effect movement of said pusher member from said forward to said forward positions so as to move said jaws from said open to said closed positions.

2. The surgical instrument of claim 1 wherein each of said first and second sidewalls has a slide surface, and said instrument further comprises a second post attached to said second jaw distally of said first post, wherein when said pusher member is moved from said rearward position to said forward position, said second post slides on each of said slide surfaces of said sidewalls when said bodily tissue is not received between said jaws.

3. The surgical instrument of claim 2 wherein said elongated shaft has a longitudinal axis, and said first and second posts are attached to said second jaw substantially perpendicular to said longitudinal axis.

4. The surgical instrument of claim 1 wherein said elongated shaft is a cylindrical tube.

5. The instrument of claim 4 wherein said distal end of said cylindrical tube is integral with said pusher member.

6. The instrument of claim 1 wherein said instrument is an endoscopic surgical instrument.

7. The instrument of claim 1 wherein a staple cartridge is received within said elongated channel of said first jaw between said first and second sidewalls.

8. The instrument of claim 7 wherein said second jaw includes an anvil for forming staples thereon.

9. The instrument of claim 8 wherein said pusher member has a distal end and said anvil has a proximal end, and said anvil proximal end has a bearing surface and a chamfer ramp, said surface and ramp abutting said distal end of said pusher member.

10. The instrument of claim 1 wherein said actuator includes a pistol grip handle, a clamping trigger, and a firing trigger.

11. A surgical instrument comprising:

a) a rigid frame for gripping said instrument;

b) a cylindrical closing tube extending from said frame and having a distal end;

c) an end effector extending from said distal end, said end effector including first and second jaws each having proximal and distal ends, said jaws movable relative to each other from an open position for receiving bodily tissue therebetween to a closed position for clamping or grasping said tissue, said first jaw including an elongated channel having a base and first and second sidewalls each having proximal and distal ends, said sidewalls extending from said base toward said second jaw, each of said sidewalls having a mutually opposed elongated slot, each of said slots disposed diagonally upwards from a lowermost end adjacent said proximal end of said sidewall to an uppermost end toward said distal end of said sidewall, said proximal end of said second jaw affixed to said tube distal end;

d) a first post cooperatively engaged with said proximal end of said second jaw, said first post being received within said mutually opposed elongated slots for sliding movement therein; and

e) an actuator at least partially housed in said frame and operatively connected to said closure tube to effect movement of said closure tube from a rearward position to a forward position so as to move said jaws from said open to said closed positions and;

f) a mechanism affixing said closure tube to said second jaw so that forward and rearward movement of said closure tube and said second jaw occurs in tandem relative to each other,

wherein when said closure tube is in said rearward position, said first post is positioned at said lowermost ends of said slots and said distal end of said second jaw is rearward of said distal end of said first jaw so as to position said jaws in said open position, and when said closure tube is moved forwardly from said rearward position to said forward position, said second jaw is moved forwardly in tandem with said closure tube, said first post has traveled to said uppermost ends of said slots, and said distal end of said second jaw is positioned adjacent to said distal end of said first jaw so as to position said jaws in said closed positions.

12. The surgical instrument of claim 11 wherein each of said first and second sidewalls has a slide surface, and said instrument further comprises a second post attached to said second jaw distally of said first post, wherein when said closure tube is moved from said rearward position to said forward position, said second post slides on each of said slide surfaces of said sidewalls.

13. The surgical instrument of claim 12 wherein said closure tube has a longitudinal axis, and said first and second posts are attached to said second jaw substantially perpendicular to said longitudinal axis.

14. The instrument of claim 11 wherein said instrument is an endoscopic surgical instrument.

15. The instrument of claim 11 wherein a staple cartridge is received within said elongated channel of said first jaw between first and second sidewalls.

16. The instrument of claim 15 wherein said second jaw includes an anvil for forming staples thereon.

17. The instrument of claim 16 wherein said anvil has a proximal end including a bearing surface and a chamfer ramp, and said tube distal end abuts said surface and ramp.

18. The instrument of claim 11 wherein said actuator includes a pistol grip handle, a clamping trigger, and a firing trigger.