Cable actuated end-effector for a surgical instrument

• US 8,623,044 B2
• Filed: 04/12/2010
• Issued: 01/07/2014
• 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: Timm, Richard W., Thompson, Suzanne E., Hunt, John V., Monson, Gavin M., Vakharia, Omar J., Laird, Robert J.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/758,284
• Publication Number:
  US 20110251608A1
• Time in Patent Office: 1,366 Days
• Field of Search: 606/45, 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 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2932 Transmission of forces to jaw members
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

Various embodiments are directed to a surgical instrument comprising a handle, a shaft coupled to the handle and extending along a longitudinal axis, an end effector, and a cable. The end effector may comprise a first jaw member, a second jaw member and a reciprocating member. The cable may extend distally from the handle through the shaft to a first pulley of the first jaw member. From the first pulley, the cable may extend proximally to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.

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 portion of the shaft, wherein the end effector comprises;

a first jaw member defining a first longitudinal slot and comprising a first pulley positioned at a distal portion of the first jaw member;

a second jaw member defining a second longitudinal slot, wherein the second jaw member is pivotable towards the first jaw member;

a reciprocating member translatable distally and proximally parallel to the longitudinal axis, and wherein the reciprocating member comprises;

a transverse member positioned to pass through the first and second longitudinal slots as the reciprocating member translates distally and proximally;

at least one flange positioned on a distal portion of the reciprocating member to exert a force tending to close the first and second jaw members when the transverse member passes through the first and second longitudinal slots; and

a distal leading edge that defines a blade; and

a cable extending distally from the handle through the shaft to the first pulley and proximally from the first pulley to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.

2. The surgical instrument of claim 1, wherein the first jaw member is pivotable towards the second jaw member, wherein the second jaw member comprises a second pulley at a distal portion of the second jaw member and wherein the cable comprises:

a first section extending distally to the first pulley and proximally from the first pulley to the reciprocating member; and

a second section extending distally to the second pulley and proximally from the second pulley to the reciprocating member.

3. The surgical instrument of claim 2, wherein the first and second sections of the cable are joined at a splitter positioned proximal from the first and second jaw members.

4. The surgical instrument of claim 1, further comprising at least one pulley positioned proximal from the first and second jaw members and positioned to rout the cable.

5. The surgical instrument of claim 1, wherein the first pulley comprises at least one of a rotatable wheel a stationary peg and a rotatable peg.

6. The surgical instrument of claim 1, wherein the shaft comprises an articulation joint, wherein the articulation joint comprises a second pulley positioned to route the cable.

7. The surgical instrument of claim 1, wherein the at least one flange is positioned to translate distally and proximally within the first and second jaw members.

8. The surgical instrument of claim 1, wherein the at least one flange is positioned to translate distally and proximally outside the first and second jaw members.

9. 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.

10. The surgical instrument of claim 9, 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.

11. The surgical instrument of claim 10, wherein the PTC portion comprises at least one material selected from the group consisting of a polymer PTC material and a ceramic PTC material.

12. The surgical instrument of claim 9, 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.

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

14. The surgical instrument of claim 13, 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.

15. 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.

16. The surgical instrument of claim 1, wherein the first jaw member is stationary.

17. 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 portion of the shaft, wherein the end effector comprises;

a first jaw member comprising a first pulley positioned at a distal portion of the first jaw member;

a second jaw member, wherein the second jaw member is pivotable towards the first jaw member; and

a translatable member translatable distally and proximally along the longitudinal axis, wherein distal translation of the translatable member exerts a force tending to pivot the second jaw member towards the first jaw member; and

a cable extending distally from the handle through the shaft to the first pulley and proximally from the first pulley to the translatable member, such that proximally directed motion of the cable exerts a distally directed force on the translatable member.

18. The surgical instrument of claim 17, wherein the first jaw member is stationary.

19. The surgical instrument of claim 17, wherein the first jaw member is pivotable towards the second jaw member, wherein the second jaw member comprises a second pulley at a distal portion of the second jaw member, and wherein the cable comprises:

a first section extending distally to the first pulley and proximally from the first pulley to the translatable member; and

a second section extending distally to the second pulley and proximally from the second pulley to the translatable member; and

wherein distal translation of the translatable member exerts a force tending to pivot the first jaw member towards the second jaw member.

20. The surgical instrument of claim 17, wherein the translatable member comprises a collar that is translatable distally and proximally from a pivot point of the second jaw member to a position distal from the pivot point of the second jaw member.

21. 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 portion of the shaft, wherein the end effector comprises;

a first jaw member defining a first longitudinal slot and comprising a first pulley positioned at a distal portion of the first jaw member;

a second jaw member defining a second longitudinal slot, wherein the second jaw member is pivotable towards the first jaw member;

a reciprocating member translatable distally and proximally along the longitudinal axis, and wherein the reciprocating member comprises;

a transverse member positioned to pass through the first and second longitudinal slots as the reciprocating member translates distally and proximally;

at least one flange positioned on a distal portion of the reciprocating member to exert a force tending to close the first and second jaw members when the transverse member passes through the first and second longitudinal slots; and

a distal leading edge that defines a blade; and

a cable extending distally from the handle through the shaft to the first pulley and proximally from the first pulley to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.