Electrosurgical cutting and sealing instruments with cam-actuated jaws

• US 8,834,518 B2
• Filed: 04/12/2010
• Issued: 09/16/2014
• 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: Faller, Craig N., Miller, Matthew C., Vakharia, Omar J., Laird, Robert J., Monson, Gavin M., Hunt, John V., Timm, Richard W., Witt, David A., Huang, Zhifan F., Dietz, Timothy G., Aldridge, Jeffrey L., Mootoo, Mary E., Banks, Raymond M., Shelton, Frederick E. IV
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/758,253
• Publication Number:
  US 20110251612A1
• Time in Patent Office: 1,618 Days
• Field of Search: 606/51, 606/52, 606205-207
• US Class Current: 606/205
• 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 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

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 a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other 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 instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.

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;

a second jaw member defining a second longitudinal slot, the second jaw member pivotable towards the first jaw member about a pivot point and comprising a cam pin positioned offset from the pivot point; and

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, wherein the reciprocating member defines a cam slot for receiving the cam pin, wherein distal motion of the reciprocating member exerts a force on the cam pin such that the second jaw member pivots towards the first jaw member, and wherein proximal motion of the reciprocating member exerts a force on the cam pin such that the second jaw member pivots away from the first jaw member.

2. The surgical instrument of claim 1, wherein the first jaw member is stationary and coupled to the shaft.

3. The surgical instrument of claim 1, wherein the first jaw member is also pivotable about the pivot point and comprises a first jaw member cam pin, wherein the reciprocating member also defines a second cam slot for receiving the first jaw member cam pin, wherein the distal motion of the reciprocating member exerts a force on the first jaw member cam pin such that the first jaw member pivots towards the second jaw member, and wherein the proximal motion of the reciprocating member exerts a force on the first jaw member cam pin such that the first jaw member pivots away from the second jaw member.

4. The surgical instrument of claim 1, wherein the pivot point is a rolling pivot point.

5. The surgical instrument of claim 1, wherein the cam slot comprises a distal portion, a transition portion and a proximal portion.

6. 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.

7. 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.

8. The surgical instrument of claim 7 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.

9. The surgical instrument of claim 8, wherein the PTC portion comprises at least one material selected from the group consisting of a polymer PTC material and a ceramic PTC material.

10. The surgical instrument of claim 8, 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 PTC material at a predetermined 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. A surgical instrument comprising:

a handle;

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

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;

a second jaw member defining a second longitudinal slot, the second jaw member pivotable relative to the first jaw member about a pivot point; and

a reciprocating member comprising;

an I-beam member translatable distally and proximally relative to the longitudinal axis through the first longitudinal slot and the second longitudinal slot; and

a blade member translatable distally and proximally separately from the I-beam member.

13. The surgical instrument of claim 12, wherein the second jaw member comprises a cam pin positioned offset from the pivot point, wherein the I-beam member defines a cam slot for receiving the cam pin, wherein distal motion of the reciprocating member exerts a force on the cam pin such that the second jaw member pivots towards the first jaw member, and wherein proximal motion of the reciprocating member exerts a force on the cam pin such that the second jaw member pivots away from the first jaw member.

14. The surgical instrument of claim 13, wherein the first jaw member is also pivotable about the pivot point and comprises a first jaw member cam pin, wherein the reciprocating member defines a second cam slot for receiving the first jaw member cam pin, wherein the distal motion of the reciprocating member exerts a force on the first jaw member cam pin such that the first jaw member pivots towards the second jaw member, and wherein the proximal motion of the reciprocating member exerts a force on the first jaw member cam pin such that the first jaw member pivots away from the second jaw member.

15. The surgical instrument of claim 12, wherein the first jaw member comprises a first cam portion positioned proximally from the pivot point, the second jaw member comprises a second cam portion positioned proximally from the pivot point, the surgical instrument further comprising an overtube positioned over the shaft, wherein the overtube is translatable distally toward the pivot point, wherein the overtube is configured to contact the first and second cam portions as the overtube translates distally to apply a force on the first and second cam portions tending to close the first and second jaw members.

16. The surgical instrument of claim 12, wherein the first jaw member further comprises a first electrode and the second jaw member further comprises a second electrode.

17. The surgical instrument of claim 16 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.

18. The surgical instrument of claim 17, wherein the PTC portion comprises at least one material selected from the group consisting of a polymer PTC material and a ceramic PTC material.

19. The surgical instrument of claim 16, 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 PTC material at a predetermined temperature.

20. The surgical instrument of claim 12, wherein the first jaw member comprises a tissue engagement surface comprising a positive electrode and a negative electrode separated by an insulator.