Surgical instrument comprising an articulatable end effector

• US 8,834,466 B2
• Filed: 07/08/2010
• Issued: 09/16/2014
• Est. Priority Date: 07/08/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Cummings, John F., Beckman, Andrew T., Kimball, Cory G., Mirel, Al, Schall, Christopher J.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US12/832,361
• Publication Number:
  US 20120010615A1
• Time in Patent Office: 1,531 Days
• Field of Search: 606 51- 52, 606/169, 606205-207, 607101-102, 600/137, 600/142
• US Class Current: 606/51
• 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 2017/00084 Temperature
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing

Abstract

A surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. The surgical instrument can further comprise a shaft extending between the handle and the effector and means for articulating the end effector relative to the shaft. The articulating means can comprise a portion of the shaft which is rotatable about a first axis in order to articulate the end effector about a second axis. In at least one embodiment, the shaft can comprise a first portion including a cam and a second portion including a cam follower, wherein the rotation of the second portion and the interaction of the cam and cam follower can cause the second portion to pivot relative to the first portion.

Claims

1. A surgical instrument, comprising:

a handle;

a trigger;

an articulation actuator;

an end effector, comprising;

a first jaw member;

a second jaw member, wherein one of said first jaw member and said second jaw member is movable relative to the other of said first jaw member and said second jaw member; and

an electrode;

a power switch selectively actuatable to operably couple said electrode with a power source; and

a shaft extending between said handle and said end effector, wherein said shaft comprises;

an outer tube, comprising;

a first portion comprising a proximal end mounted to said handle and a distal end comprising a first angled surface;

a second portion comprising a distal end mounted to said end effector and a proximal end comprising a second angled surface, wherein said second portion is rotatable relative to said first portion; and

an inner cavity extending through said first portion and said second portion;

a drive member extending through said inner cavity, wherein said drive member is operably coupled to said trigger, wherein an actuation of said trigger is configured to move said drive member from a proximal position to a distal position; and

an articulation member extending through said inner cavity, wherein said articulation member is rotatable relative to said first portion of said outer tube, wherein said articulation member is operably mounted to said articulation actuator and said second portion of said outer tube such that the rotation of said articulation actuator is configured to rotate said second portion relative to said first portion, wherein said second angled surface is configured to contact said first angled surface when said second portion is rotated relative to said first portion on a rotation axis in order to articulate said second portion on an articulation axis relative to said first portion, and wherein said articulation axis is different than said rotation axis.

2. The surgical instrument of claim 1, wherein said first angled surface is parallel to said second angled surface.

3. The surgical instrument of claim 1, wherein said shaft defines a longitudinal axis, and wherein said first angled surface and said second angled surface extend transversely to said longitudinal axis.

4. The surgical instrument of claim 1, wherein said drive member is configured to move said first jaw between an open position and a closed position as said drive member is moved from said proximal position to said distal position.

5. The surgical instrument of claim 1, wherein said articulation member comprises a tube extending through said inner cavity of said outer tube, wherein said tube of said articulation member comprises a second inner cavity, and wherein said drive member extends through said second inner cavity.

6. The surgical instrument of claim 1, wherein said outer tube defines a longitudinal axis extending through said first portion and said second portion of said outer tube when said second portion is unarticulated relative to said first portion, wherein said articulation member is positioned concentrically along said longitudinal axis, and wherein said second portion is configured to articulate relative to said first portion when said second portion is rotated about said longitudinal axis.

7. The surgical instrument of claim 1, wherein said articulation member is configured to inhibit said second portion of said outer tube from moving distally relative to said first portion of said outer tube.

8. The surgical instrument of claim 1, further comprising a biasing member operably engaged with at least one of said articulation actuator and said articulation member, wherein said biasing member is configured to apply a biasing force to said first portion of said outer tube and bias said first angled surface against said second angled surface.

9. The surgical instrument of claim 1, wherein said outer tube defines a longitudinal axis extending through said first portion and said second portion of said outer tube when said second portion is unarticulated relative to said first portion, wherein said second portion of said outer tube is configured to be rotated about said longitudinal axis by said articulation member, wherein said first angled surface comprises a cam, wherein said second angled surface comprises a cam follower, and wherein said cam is configured to rotate said cam follower about an axis which is perpendicular to said longitudinal axis.

10. A surgical instrument, comprising:

a handle;

a trigger;

an articulation actuator;

an end effector, comprising;

a first jaw member;

a second jaw member, wherein one of said first jaw member and said second jaw member is movable relative to the other of said first jaw member and said second jaw member; and

an electrode;

a power actuator selectively actuatable to operably couple said electrode with a power source; and

a shaft extending between said handle and said end effector, wherein said shaft comprises;

an outer tube, comprising;

a first portion comprising a proximal end mounted to said handle and a distal end comprising a first cam surface;

a second portion comprising a distal end mounted to said end effector and a proximal end comprising a second cam surface;

an intermediate portion positioned intermediate said first portion and said second portion, wherein said intermediate portion is rotatable relative to said first portion and said second portion, and wherein said intermediate portion comprises;

a first cam follower surface positioned opposite said first cam surface; and

a second cam follower surface positioned opposite said second cam surface; and

an inner cavity extending through said first portion, said intermediate portion, and said second portion;

a spine extending through said inner cavity, wherein said spine is mounted to at least one of said end effector and said second portion of said outer tube and at least one of said handle and said first portion of said outer tube;

a drive member extending through said inner cavity, wherein said drive member is operably coupled to said trigger, wherein an actuation of said trigger is configured to move said drive member from a proximal position to a distal position; and

an articulation member extending through said inner cavity, wherein said articulation member is rotatable relative to said first portion of said outer tube, wherein said articulation member is operably mounted to said articulation actuator and said intermediate portion of said outer tube such that the rotation of said articulation actuator is configured to rotate said intermediate portion relative to said first portion, wherein said first cam follower surface is configured to contact said first cam surface when said intermediate portion is rotated relative to said first portion on a rotation axis in order to articulate said intermediate portion relative to said first portion on an articulation axis, and wherein said articulation axis is different than said rotation axis.

11. The surgical instrument of claim 10, wherein the rotation of said articulation actuator is configured to rotate said intermediate portion relative to said second portion, and wherein said second cam follower surface is configured to contact said second cam surface when said intermediate portion is rotated relative to said second portion in order to articulate said second portion relative to said intermediate portion.

12. The surgical instrument of claim 10, wherein said outer tube defines a longitudinal axis extending through said first portion, said intermediate portion, and said second portion of said outer tube when said intermediate portion and said second portion are unarticulated relative to said first portion, wherein said first cam surface comprises a first angled surface, wherein said second cam surface comprises a second angled surface, and wherein said first angled surface and said second angled surface extend transversely to said longitudinal axis.

13. The surgical instrument of claim 12, wherein said second portion of said outer tube is configured to be rotated about said longitudinal axis by said articulation member, wherein said first angled surface comprises a cam, wherein said second angled surface comprises a cam follower, and wherein said cam is configured to rotate said cam follower about an axis which is perpendicular to said longitudinal axis.

14. The surgical instrument of claim 10, wherein said drive member is configured to move said first jaw between an open position and a closed position as said drive member is moved from said proximal position to said distal position.

15. The surgical instrument of claim 10, wherein said articulation member comprises a tube extending through said inner cavity of said outer tube, wherein said tube of said articulation member comprises a second inner cavity, and wherein said drive member and said spine extend through said second inner cavity.

16. The surgical instrument of claim 10, wherein said outer tube defines a longitudinal axis extending through said first portion, said intermediate portion, and said second portion of said outer tube when said intermediate portion and said second portion are unarticulated relative to said first portion, wherein said articulation member is positioned concentrically along said longitudinal axis, and wherein said intermediate portion is configured to articulate relative to said first portion when said intermediate portion is rotated about said longitudinal axis.

17. The surgical instrument of claim 10, wherein said spine member is configured to inhibit said second portion of said outer tube from rotating relative to said first portion.

18. The surgical instrument of claim 10, wherein said outer tube defines a longitudinal axis extending through said first portion, said intermediate portion, and said second portion of said outer tube when said intermediate portion and said second portion are unarticulated relative to said first portion, wherein said intermediate portion of said outer tube is configured to be rotated about said longitudinal axis by said articulation member, and wherein said first cam surface is configured to rotate said first cam follower surface about an axis which is perpendicular to said longitudinal axis.

19. A surgical instrument, comprising:

a handle;

an articulation actuator;

an end effector; and

a shaft extending between said handle and said end effector, wherein said shaft comprises;

an outer tube, comprising;

a first portion comprising a proximal end mounted to said handle and a distal end comprising a first cam surface;

a second portion comprising a distal end mounted to said end effector and a proximal end comprising a second cam surface;

an intermediate portion positioned intermediate said first portion and said second portion, wherein said intermediate portion is rotatable relative to said first portion and said second portion, and wherein said intermediate portion comprises;

a first cam follower surface positioned opposite said first cam surface; and

a second cam follower surface positioned opposite said second cam surface; and

an inner cavity extending through said first portion, said intermediate portion, and said second portion;

a spine extending through said inner cavity, wherein said spine is mounted to at least one of said end effector and said second portion of said outer tube and at least one of said handle and said first portion of said outer tube; and

an articulation member extending through said inner cavity, wherein said articulation member is rotatable relative to said first portion of said outer tube, wherein said articulation member is operably mounted to said articulation actuator and said intermediate portion of said outer tube such that the rotation of said articulation actuator is configured to rotate said intermediate portion relative to said first portion, wherein said first cam follower surface is configured to contact said first cam surface when said intermediate portion is rotated relative to said first portion on a rotation axis in order to articulate said intermediate portion relative to said first portion on an articulation axis, and wherein said articulation axis is different than said rotation axis.