Surgical cutting and sealing instrument with reduced firing force

• US 8,696,665 B2
• Filed: 03/26/2010
• Issued: 04/15/2014
• Est. Priority Date: 03/26/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hunt, John V., Laird, Robert J., Vakharia, Omar J., Timm, Richard W., Monson, Gavin M., Thompson, Suzanne E.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US12/732,992
• Publication Number:
  US 20110238065A1
• Time in Patent Office: 1,481 Days
• Field of Search: 606 50- 52, 606205-207
• US Class Current: 606/51
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/2933 camming or guiding means
• CPC Class Codes: A61B 2017/2937 with flexible part

Abstract

A surgical instrument is provided that can comprise and end effector including two jaws and a cutting member configured to move between the jaws. In at least one embodiment, one or both of the jaws may be flexible, such that a jaw is configured to flex when gripping tissue. Further, at least one of the jaws may include a thin cross-sectional area such that the jaw flexes when gripping tissue. Additionally, in at least one embodiment, one or more compression elements may extend from the cutting member and may be configured to cause the jaws to close when the cutting member is advanced. The compression elements may comprise a roller and/or a low-friction material. Moreover, in at least one embodiment, one or both of the jaws may be precurved, away from the cutting member'"'"'s longitudinal axis. Accordingly, in various embodiments, the overall force required to advance the cutting member and/or close the jaws may be reduced.

Claims

1. A surgical instrument, comprising:

an end effector comprising;

a first flexible jaw defining a longitudinal axis and a channel;

a second jaw, wherein the first flexible jaw and the second jaw are operably coupled together;

a cutting member including a distal end, wherein the cutting member is sized and configured to fit at least partially within the channel, the cutting member configured to translate along the channel between a retracted position and a fully advanced position, wherein the first flexible jaw has a thickness less than or equal to 1.3 mm in a direction perpendicular to the longitudinal axis and at a plane that transects the channel at the distal end of the cutting member when the cutting member is between the retracted position and the fully advanced position; and

at least one compression element extending distally from the cutting member, wherein the at least one compression element is configured to cause the first flexible jaw to rotate with respect to the second jaw from an open position to a closed position when the cutting member translates with respect to the first flexible jaw beyond the retracted position, wherein the at least one compression element comprises a roller, and wherein the roller is configured to be advanced ahead of the cutting member as the cutting member translates to the fully advanced position.

2. The surgical instrument of claim 1, wherein the thickness of the first flexible jaw is greater than or equal to 0.5 mm and wherein the first flexible jaw has a width between and including 2 mm to 15 mm.

3. The surgical instrument of claim 1, wherein the first flexible jaw and the second jaw are pivotably coupled together.

4. A surgical instrument, comprising:

an end effector coupled comprising;

a first jaw;

a second jaw, wherein the first jaw and the second jaw are operably coupled together;

a cutting member configured to translate with respect to the first jaw and the second jaw; and

at least one compression element extending distally from the cutting member, wherein the at least one compression element is configured to contact the first jaw such that the first jaw rotates with respect to the second jaw when the cutting member translates with respect to the first jaw, wherein the at least one compression element comprises a roller and a low-friction material, wherein the static coefficient of friction between the low-friction material and the first jaw is less than or equal to 0.10, wherein the at least one compression element comprises a rolling member, and wherein the rolling member is configured to be advanced ahead of the cutting member as the cutting member translates distally with respect to the first jaw.

5. The surgical instrument of claim 4, wherein the static coefficient of friction between the low-friction material and the first jaw is less than or equal to 0.07.

6. The surgical instrument of claim 4, wherein the static coefficient of friction between the low-friction material and the first jaw is less than or equal to 0.05.

7. The surgical instrument of claim 4, wherein the low-friction material comprises a thermoplastic.

8. The surgical instrument of claim 7, wherein the thermoplastic is one or more of nylon, high-density polyethylene, and polytetrafluoroethylene.

9. The surgical instrument of claim 4, wherein the first jaw and the second jaw are pivotably coupled together.

10. 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;

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

at least one compression element extending distally from the cutting member, wherein the at least one compression element is configured to contact the first jaw such that the first jaw rotates with respect to the second jaw between an open position and a closed position when the cutting member translates with respect to the first jaw, wherein the first jaw is precurved such that the first jaw curves away from the longitudinal axis when the first jaw is in the open position and no external load is applied to the first jaw, wherein the at least one compression element comprises a rotatable member, and wherein the rotatable member is configured to be advanced ahead of the cutting member as the cutting member translates to the fully advanced position.

11. The surgical instrument of claim 10, wherein the first jaw is mounted to a floating hinge.

12. The surgical instrument of claim 10, wherein the first jaw is configured to flex when gripping tissue between the first jaw and the second jaw.

13. The surgical instrument of claim 12, wherein the first jaw is mounted to a fixed pivot hinge.

14. The surgical instrument of claim 10, wherein the first jaw is precurved such that the minimum distance between the first jaw and the second jaw is not less than 0.006 inches and the maximum distance between the first jaw and the second jaw is not more than 0.050 inches when the first jaw is in the closed position.

15. The surgical instrument of claim 10, wherein the cutting member is configured to translate with respect to the second jaw between the retracted position and the fully advanced position, wherein the at least one compression element is configured to cause the second jaw to rotate with respect to the first jaw between an open position and a closed position when the cutting member translates with respect to the second jaw, wherein the second jaw is precurved such that the second jaw curves away from the cutting member'"'"'s longitudinal axis when the second jaw is in the open position and no external load is applied to the second jaw.

16. The surgical instrument of claim 15, wherein the second jaw is mounted to a floating hinge.

17. The surgical instrument of claim 15, wherein the second jaw is configured to flex when gripping tissue between the first jaw and the second jaw.

18. The surgical instrument of claim 17, wherein the second jaw is mounted to a fixed pivot hinge.

19. The surgical instrument of claim 10, wherein the rotatable member is journaled on a shaft extending from the cutting member.

20. The surgical instrument of claim 10, wherein the at least one compression element comprises a first compression element and a second compression element, wherein the first and second compression elements are positioned on opposing sides of the cutting member.

21. The surgical instrument of claim 20, wherein the first and second compression elements are configured to contact the first jaw.

22. The surgical instrument of claim 10, wherein the at least one compression element comprises a first compression element, a second compression element, a third compression element, and a forth compression element, wherein the first compression element and the second compression element are configured to contact the first jaw, and wherein the third compression element and the fourth compression element are configured to contact the second jaw.

23. The surgical instrument of claim 10, wherein the first jaw and the second jaw are pivotably coupled together.