Electrosurgical cutting and sealing instruments with cam-actuated jaws

• US 8,496,682 B2
• Filed: 04/12/2010
• Issued: 07/30/2013
• Est. Priority Date: 04/12/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Guerra, Paul, Harris, Jason L., Johnson, Gregory W., Malaviya, Prasanna, Swayze, Jeffrey S.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/758,268
• Publication Number:
  US 20110251613A1
• Time in Patent Office: 1,205 Days
• Field of Search: 606 50- 52, 606205-207
• US Class Current: 606/205
• CPC Class Codes: A61B 17/295 combined with cutting implements
• 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 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2934 arcuate shaped guiding means
• CPC Class Codes: A61B 2017/2936 Pins in guiding slots
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade

Abstract

Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along an longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members, a reciprocating member, a shuttle and at least one cam pin. The first and second jaw members may define first and second longitudinal slots and first and second cam slots and may be pivotable towards one another about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The shuttle may be translatable distally and proximally parallel to the longitudinal axis. The cam pin may be coupled to the shuttle and positioned within the first cam slot and the second cam slots.

Claims

1. A surgical instrument comprising:

a handle;

a shaft coupled to the handle and extending distally along a longitudinal axis;

an end effector positioned at a distal end of the shaft, wherein the end effector comprises;

a first jaw member defining a first longitudinal slot, wherein the first jaw member comprises a first cam track defining a first cam slot; and

a second jaw member defining a second longitudinal slot, wherein the second jaw member is pivotable towards the first jaw member about a jaw pivot point, and wherein the second jaw member comprises a second cam track defining a second cam slot;

a reciprocating member translatable distally and proximally parallel to the longitudinal axis through the first longitudinal slot and the second longitudinal slot, wherein a distal portion of the reciprocating member defines a blade;

a shuttle translatable distally and proximally parallel to the longitudinal axis, wherein the reciprocating member defines at least one slot and wherein the shuttle is positioned to translate within the slot distally and proximally relative to the reciprocating member; and

at least one cam pin coupled to the shuttle and positioned within the first cam slot and the second cam slot.

2. The surgical instrument of claim 1, wherein the first jaw member is pivotable towards the second jaw member about the jaw pivot point.

3. The surgical instrument of claim 1, wherein the reciprocating member comprises a pair of flanges positioned to ride above the first and second longitudinal slots when the reciprocating member is extended distally through the first and second longitudinal slots.

4. The surgical instrument of claim 1, wherein the at least one cam pin comprises a single cam pin positioned to extend through the shuttle, the first cam slot and the second cam slot.

5. The surgical instrument of claim 1, wherein the first jaw member further comprises a first electrode and the second jaw member further comprises a second electrode.

6. The surgical instrument of claim 5, wherein at least one of the first electrode and the second electrode comprises a first electrically conductive portion and a positive temperature coefficient (PTC) portion.

7. The surgical instrument of claim 6, wherein the PTC portion comprises at least one material selected from the group consisting of a polymer PTC material and a ceramic PTC material.

8. The surgical instrument of claim 5, wherein the PTC portion comprises a PTC material with a temperature dependent electrical resistance such that the electrical resistance of the PTC material increases to substantially eliminate current flowing through the PCT material at a predetermined temperature.

9. The surgical instrument of claim 5, further comprising an electrosurgical generator in electrical communication with the first and second electrodes.

10. The surgical instrument of claim 9, wherein the electrosurgical generator comprises feedback circuitry configured to modify power delivered to the first and second electrode based on at least one property of the electrode selected from the group consisting of tissue impedance and electrode temperature.

11. The surgical instrument of claim 1, wherein the first jaw member comprises a tissue engagement surface comprising a positive electrode and a negative electrode separated by an insulator.

12. The surgical instrument of claim 1, further comprising a first translating member coupled to the shuttle and extending proximally from the shuttle through the shaft to the handle.

13. The surgical instrument of claim 1, wherein the reciprocating member extends proximally from through the shaft to the handle.

14. The surgical instrument of claim 1, wherein the end effector further comprises a clevis comprising a first arm and a second arm, wherein the first arm and the second arm define holes positioned at about the pivot point.

15. The surgical instrument of claim 1, wherein the reciprocating member extends proximally through the shaft to the handle.

16. A method of using the surgical instrument of claim 1, the method comprising:

translating the shuttle and cam pin proximally to cause the first and second jaw members to close; and

translating the reciprocating member distally through the longitudinal slots.

17. The method of claim 16, wherein the translating of the shuttle occurs prior to the translating of the reciprocating member.

18. The method of claim 16, further comprising:

translating the reciprocating member proximally; and

translating the shuttle and cam pin distally to cause the first and second jaw members to open.

19. A surgical instrument comprising:

an end effector comprising;

a first jaw member defining a first longitudinal slot, wherein the first jaw member comprises a first cam track defining a first cam slot; and

a second jaw member defining a second longitudinal slot, wherein the second jaw member is pivotable towards the first jaw member about a jaw pivot point, and wherein the second jaw member comprises a second cam track defining a second cam slot;

a reciprocating member translatable distally and proximally parallel to the longitudinal axis through the first longitudinal slot and the second longitudinal slot, wherein a distal portion of the reciprocating member defines a blade;

a shuttle translatable distally and proximally parallel to the longitudinal axis, wherein the reciprocating member defines at least one slot and wherein the shuttle is positioned to translate within the slot distally and proximally relative to the reciprocating member; and

at least one cam pin coupled to the shuttle and positioned within the first cam slot and the second cam slot; and

a shaft extending proximally from the end effector.