Surgical instrument with jaw member

• US 8,888,809 B2
• Filed: 10/01/2010
• Issued: 11/18/2014
• Est. Priority Date: 10/01/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Davison, Mark A., Boudreaux, Chad P., Killinger, Scott B., Batross, Jonathan T., Trees, Gregory A., Felder, Kevin D., Wang, Bingshi, Barbera, Nathaniel F.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): Ram, Jocelyn D
• Application Number:
  US12/896,420
• Publication Number:
  US 20120083783A1
• Time in Patent Office: 1,509 Days
• Field of Search: 606/37, 606/51, 606/52, 606/207
• US Class Current: 606/207
• 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 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2018/00142 lubricating
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter

Abstract

A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member.

Claims

1. A surgical instrument for supplying energy to tissue, comprising:

a handle;

a trigger;

an electrical input;

a shaft extending from the handle, wherein the shaft comprises a conductor, and wherein the trigger is selectively actuatable to electrically couple the electrical input and the conductor; and

an end effector defining a longitudinal axis, comprising;

a first jaw member comprising a cammed compression surface along the longitudinal axis, the cammed compression surface comprising a multi-sloped track defining a first ramp having a first slope, the first ramp leading to a ridge having a flat portion, the ridge leading to a second ramp having a second slope;

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member between an open and a closed position to clamp tissue intermediate the first jaw member and the second jaw member in the closed position;

the first and second jaw members defining a channel;

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; and

at least one compression element extending from the cutting member and contacting the cammed compression surface, wherein the at least one compression element engages the cammed compression surface to move the first and second jaw members from the open position to the closed position when the cutting member translates with respect to the first and second jaw members beyond the retracted position, wherein relative to a direction of travel of the compression element, the first slope is opposite that of the second slope.

2. The surgical instrument of claim 1, wherein at least one of the at least one compression element and the cammed compression surface comprises at least one of a friction-reducing coating.

3. The surgical instrument of claim 2, wherein the friction-reducing coating is one of boron aluminum manganese, aluminum titanium nitride, titanium nitride, diamond-like carbon, molybdenum disulfide titanium, and vanadium carbide.

4. The surgical instrument of claim 1, wherein at least a portion of the end effector is comprised of spinodal bronze.

5. The surgical instrument of claim 1, wherein the cutting member is comprised of a first outer band, a center band, and a second outer band, wherein at least one of the first outer band and the second outer band is translatable with respect to the center band.

6. The surgical instrument of claim 5, wherein each of the first outer band, the center band, and the second outer band collectively define an aperture sized to receive the at least one compression element.

7. The surgical instrument of claim 5, wherein the center band defines a vertical slot and the first and second outer bands define notches angled with respect to the vertical slot, wherein the vertical slot and the notches collectively define an aperture sized to receive the at least one compression element.

8. The surgical instrument of claim 5, wherein the first and second outer bands translate distally with respect to the center band when the cutting member translates from the retracted position to the fully advanced position, and wherein the first and second outer bands translate proximally with respect to the center band when the cutting member translates from the fully advanced position to the retracted position.

9. The surgical instrument of claim 1, wherein the at least one compression element is a pin having a longitudinal axis, the pin having at least two different outer diameters along the longitudinal axis.

10. The surgical instrument of claim 9, wherein the pin has a first diameter and a second diameter, wherein the first diameter is larger than the second diameter, wherein the cutting member is comprised of a first outer band, wherein the first outer band defines a slot having a first and second widths, wherein the first width is larger than the first diameter and the second width is greater than the second diameter by less than the first diameter.

11. The surgical instrument of claim 1, wherein the at least one compression element is an assembly comprising a shaft, a first ring and a second ring.

12. The surgical instrument of claim 11, wherein the at least one compression element comprises a roller bearing.

13. The surgical instrument of claim 1, wherein the second jaw member comprises a second cammed compression surface along the longitudinal axis, wherein the second cammed compression surface of the second jaw member comprises a second multi-sloped track defining a third ramp having a third slope, the third ramp leading to a second ridge having a second flat portion, the second ridge leading to a fourth ramp having a fourth slope, wherein the at least one compression element contacts and engages the second cammed compression surface of the second jaw member when the cutting member translates with respect to the first and second jaw members beyond the retracted position, and wherein relative to the direction of travel of the compression element, the third slope is opposite that of the fourth slope.

14. The surgical instrument of claim 1, wherein when the at least one compression element travels along the first ramp, a distance between the first jaw member and the second jaw member decreases.

15. The surgical instrument of claim 1, wherein when the at least one compression element engages the flat portion of the ridge, the first jaw member and the second jaw member are in the closed position, the closed position being defined such that the first jaw member and the second jaw member are separated by a first distance when the first jaw member and the second jaw member are in the closed position, wherein when the at least one compression element travels along the second ramp, a distance between the first jaw member and the second jaw member increases compared to the first distance.

16. The surgical instrument of claim 1, wherein the multi-sloped track further defines a third ramp having a third slope, wherein relative to the direction of travel of the compression element, the third slope is the same as that of the first slope.

17. The surgical instrument of claim 16, wherein when the at least one compression element engages the flat portion of the ridge, the first jaw member and the second jaw member are in the closed position, and wherein when the at least one compression element travels to an end of the third ramp, the first jaw member and the second jaw member are in the closed position.

18. A surgical instrument for supplying energy to tissue, comprising:

a handle;

a trigger;

an electrical input;

a shaft extending from the handle, wherein the shaft comprises a conductor, and wherein the trigger is selectively actuatable to electrically couple the electrical input and the conductor; and

an end effector defining a longitudinal axis, comprising;

a first jaw member comprising a cammed compression surface along the longitudinal axis, the cammed compression surface comprising a closure track having a first portion, a second portion, and a third portion;

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member between an open and a closed position to clamp tissue intermediate the first jaw member and the second jaw member in the closed position;

the first and second jaw members defining a channel;

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; and

at least one compression element extending from the cutting member and contacting the cammed compression surface, wherein the at least one compression element engages the cammed compression surface to move the first and second jaw members from the open position to the closed position when the cutting member translates with respect to the first and second jaw members beyond the retracted position; and

wherein the closed position comprises a first closed position, a second closed position, and a third closed position, the first closed position is defined such that the first jaw member and the second jaw member are separated by a first distance when the first jaw member and the second jaw member are in the first closed position, the second closed position is defined such that the first jaw member and the second jaw member are separated by a second distance when the first jaw member and the second jaw member are in the second closed position, and the third closed position is defined such that the first jaw member and the second jaw member are separated by a third distance when the first jaw member and the second jaw member are in the third closed position; and

wherein the first distance is greater than the second distance and the third distance is greater than the second distance; and

wherein the at least one compression element engages the first portion and causes the first jaw member to move into the first closed position; and

wherein the at least one compression element engages the second portion and causes the first jaw member to move into the second closed position; and

wherein the at least one compression element engages the third portion and causes the first jaw member to move into the third closed position.

19. The surgical instrument of claim 18, wherein the first distance and the third distance are equal.

20. The surgical instrument of claim 18, wherein the closure track of the cammed compression surface further comprises a fourth portion;

and

wherein the closed position further comprises a fourth closed position, the fourth closed position is defined such that the first jaw member and the second jaw member are separated by a fourth distance;

wherein the fourth distance is less than the third distance; and

wherein the at least one compression element engages the fourth portion and causes the first jaw member to move into the fourth closed position.

21. A surgical instrument for supplying energy to tissue, comprising:

a handle;

a trigger;

an electrical input;

a shaft extending from the handle, wherein the shaft comprises a conductor, and wherein the trigger is selectively actuatable to electrically couple the electrical input and the conductor; and

an end effector defining a longitudinal axis, comprising;

a first jaw member comprising a cammed compression surface along the longitudinal axis;

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member between an open and a closed position to clamp tissue intermediate the first jaw member and the second jaw member in the closed position;

the first and second jaw members defining a channel;

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; and

at least one compression element extending from the cutting member and contacting the cammed compression surface, wherein the at least one compression element engages the cammed compression surface to move the first and second jaw members from the open position to the closed position when the cutting member translates with respect to the first and second jaw members beyond the retracted position; and

wherein the cutting member is comprised of a first outer band, a center band, and a second outer band, wherein at least one of the first outer band and the second outer band is translatable with respect to the center band; and

wherein each of the first outer band, the center band, and the second outer band collectively define an aperture sized to receive the at least one compression element.

22. The surgical instrument of claim 21, wherein at least one of the at least one compression element and the cammed compression surface comprises at least one of a friction-reducing coating.

23. The surgical instrument of claim 22, wherein the friction-reducing coating is one of boron aluminum manganese, aluminum titanium nitride, titanium nitride, diamond-like carbon, molybdenum disulfide titanium, and vanadium carbide.

24. The surgical instrument of claim 21, wherein at least a portion of the end effector is comprised of spinodal bronze.

25. The surgical instrument of claim 21, wherein the first and second outer bands translate distally with respect to the center band when the cutting member translates from the retracted position to the fully advanced position, and wherein the first and second outer bands translate proximally with respect to the center band when the cutting member translates from the fully advanced position to the retracted position.

26. The surgical instrument of claim 21, wherein the at least one compression element is a pin having a longitudinal axis, the pin having at least two different outer diameters along the longitudinal axis.

27. The surgical instrument of claim 26, wherein the pin has a first diameter and a second diameter, wherein the first diameter is larger than the second diameter, wherein the first outer band defines a slot having a first and second widths, wherein the first width is larger than the first diameter and the second width is greater than the second diameter by less than the first diameter.

28. The surgical instrument of claim 21, wherein the at least one compression element is an assembly comprising a shaft, a first ring and a second ring.

29. The surgical instrument of claim 28, wherein the at least one compression element comprises a roller bearing.

30. A surgical instrument for supplying energy to tissue, comprising:

a handle;

a trigger;

an electrical input;

a shaft extending from the handle, wherein the shaft comprises a conductor, and wherein the trigger is selectively actuatable to electrically couple the electrical input and the conductor; and

an end effector defining a longitudinal axis, comprising;

a first jaw member comprising a cammed compression surface along the longitudinal axis.

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member between an open and a closed position to clamp tissue intermediate the first jaw member and the second jaw member in the closed position;

the first and second jaw members defining a channel;

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; and

at least one compression element extending from the cutting member and contacting the cammed compression surface, wherein the at least one compression element engages the cammed compression surface to move the first and second jaw members from the open position to the closed position when the cutting member translates with respect to the first and second jaw members beyond the retracted position; and

wherein the cutting member is comprised of a first outer band, a center band, and a second outer band, wherein at least one of the first outer band and the second outer band is translatable with respect to the center band; and

wherein the center band defines a vertical slot and the first and second outer bands define notches angled with respect to the vertical slot, wherein the vertical slot and the notches collectively define an aperture sized to receive the at least one compression element.

31. The surgical instrument of claim 30, wherein at least one of the at least one compression element and the cammed compression surface comprises at least one of a friction-reducing coating.

32. The surgical instrument of claim 31, wherein the friction-reducing coating is one of boron aluminum manganese, aluminum titanium nitride, titanium nitride, diamond-like carbon, molybdenum disulfide titanium, and vanadium carbide.

33. The surgical instrument of claim 30, wherein at least a portion of the end effector is comprised of spinodal bronze.

34. The surgical instrument of claim 30, wherein the first and second outer bands translate distally with respect to the center band when the cutting member translates from the retracted position to the fully advanced position, and wherein the first and second outer bands translate proximally with respect to the center band when the cutting member translates from the fully advanced position to the retracted position.

35. The surgical instrument of claim 30, wherein the at least one compression element is a pin having a longitudinal axis, the pin having at least two different outer diameters along the longitudinal axis.

36. The surgical instrument of claim 35, wherein the pin has a first diameter and a second diameter, wherein the first diameter is larger than the second diameter, wherein the first outer band defines a slot having a first and second widths, wherein the first width is larger than the first diameter and the second width is greater than the second diameter by less than the first diameter.

37. The surgical instrument of claim 30, wherein the at least one compression element is an assembly comprising a shaft, a first ring and a second ring.

38. The surgical instrument of claim 37, wherein the at least one compression element comprises a roller bearing.

39. A surgical instrument for supplying energy to tissue, comprising:

a handle;

a trigger;

an electrical input;

a shaft extending from the handle, wherein the shaft comprises a conductor, and wherein the trigger is selectively actuatable to electrically couple the electrical input and the conductor; and

an end effector defining a longitudinal axis, comprising;

a first jaw member comprising a cammed compression surface along the longitudinal axis;

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member between an open and a closed position to clamp tissue intermediate the first jaw member and the second jaw member in the closed position;

the first and second jaw members defining a channel;

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; and

at least one compression element extending from the cutting member and contacting the cammed compression surface, wherein the at least one compression element engages the cammed compression surface to move the first and second jaw members from the open position to the closed position when the cutting member translates with respect to the first and second jaw members beyond the retracted position; and

wherein the cutting member is comprised of a first outer band, a center band, and a second outer band, wherein at least one of the first outer band and the second outer band is translatable with respect to the center band; and

wherein the first and second outer bands translate distally with respect to the center band when the cutting member translates from the retracted position to the fully advanced position, and wherein the first and second outer bands translate proximally with respect to the center band when the cutting member translates from the fully advanced position to the retracted position.

40. The surgical instrument of claim 39, wherein at least one of the at least one compression element and the cammed compression surface comprises at least one of a friction-reducing coating.

41. The surgical instrument of claim 40, wherein the friction-reducing coating is one of boron aluminum manganese, aluminum titanium nitride, titanium nitride, diamond-like carbon, molybdenum disulfide titanium, and vanadium carbide.

42. The surgical instrument of claim 39, wherein at least a portion of the end effector is comprised of spinodal bronze.

43. The surgical instrument of claim 39, wherein the at least one compression element is a pin having a longitudinal axis, the pin having at least two different outer diameters along the longitudinal axis.

44. The surgical instrument of claim 43, wherein the pin has a first diameter and a second diameter, wherein the first diameter is larger than the second diameter, wherein the first outer band defines a slot having a first and second widths, wherein the first width is larger than the first diameter and the second width is greater than the second diameter by less than the first diameter.

45. The surgical instrument of claim 39, wherein the at least one compression element is an assembly comprising a shaft, a first ring and a second ring.

46. The surgical instrument of claim 45, wherein the at least one compression element comprises a roller bearing.

47. A surgical instrument for supplying energy to tissue, comprising:

a handle;

a trigger;

an electrical input;

a shaft extending from the handle, wherein the shaft comprises a conductor, and wherein the trigger is selectively actuatable to electrically couple the electrical input and the conductor; and

an end effector defining a longitudinal axis, comprising;

a first jaw member comprising a cammed compression surface along the longitudinal axis;

a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member between an open and a closed position to clamp tissue intermediate the first jaw member and the second jaw member in the closed position;

the first and second jaw members defining a channel;

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; and

at least one compression element extending from the cutting member and contacting the cammed compression surface, wherein the at least one compression element engages the cammed compression surface to move the first and second jaw members from the open position to the closed position when the cutting member translates with respect to the first and second jaw members beyond the retracted position; and

wherein the at least one compression element is a pin having a longitudinal axis, the pin having at least two different outer diameters along the longitudinal axis.

wherein the pin has a first diameter and a second diameter, wherein the first diameter is larger than the second diameter, wherein the cutting member is comprised of a first outer band, wherein the first outer band defines a slot having a first and second widths, wherein the first width is larger than the first diameter and the second width is greater than the second diameter by less than the first diameter.

48. The surgical instrument of claim 47, wherein at least one of the at least one compression element and the cammed compression surface comprises at least one of a friction-reducing coating.

49. The surgical instrument of claim 48, wherein the friction-reducing coating is one of boron aluminum manganese, aluminum titanium nitride, titanium nitride, diamond-like carbon, molybdenum disulfide titanium, and vanadium carbide.

50. The surgical instrument of claim 47, wherein at least a portion of the end effector is comprised of spinodal bronze.

51. The surgical instrument of claim 47, wherein the cutting member is further comprised of a center band and a second outer band, wherein at least one of the first outer band and the second outer band is translatable with respect to the center band.