Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism

• US 8,939,974 B2
• Filed: 10/09/2009
• Issued: 01/27/2015
• Est. Priority Date: 10/09/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Andreyko, Michael J., Trees, Gregory A.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US12/576,776
• Publication Number:
  US 20110087218A1
• Time in Patent Office: 1,936 Days
• Field of Search: 606/32, 606/37, 606/39, 606/40, 606/48, 606 50- 52, 606/207, 606/208, 606/205, 607/99
• US Class Current: 606/52
• 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 2017/2922 toggle linkages
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00619 Welding
• 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 2218/008 for smoke evacuation

Abstract

A surgical instrument can comprise a first drive system for advancing a knife bar between a first position and a second position in order to close a jaw, or clamping, member of an end effector. The first drive system can comprise a toggle clamp which can generate and transmit an asymptotical clamping load to the jaw member. The surgical instrument can further comprise a second drive system for advancing the knife bar between the second position and a third position. The second drive system can comprise a rack and pinion system and the surgical instrument can comprise a single trigger for actuating both the first drive system and the second drive system on the same stroke.

Claims

1. A surgical instrument, comprising:

a handle, comprising;

a trigger movable between an unactuated position and an actuated position;

a first drive system comprising a toggle clamp; and

a second drive system, comprising;

a rack;

a pinion operably engaged with said rack; and

a yoke comprising a rack lock selectively engageable with said rack, wherein said trigger is movable between a first range of motion and a second range of motion when said trigger is moved between said unactuated position and said actuated position, wherein said trigger is operably engageable with said first drive system such that said trigger is configured to actuate said toggle clamp during said first range of motion, and wherein said trigger is operably engageable with said second drive system such that said trigger is configured to actuate said rack during said second range of motion;

a shaft extending from said handle, wherein said shaft comprises a knife bar movable between a first position, a second position, and a third position, wherein said toggle clamp and said rack are operably engageable with said knife bar, wherein said toggle clamp is configured to move said knife bar between said first position and said second position, and wherein said rack is configured to move said knife bar between said second position and said third position; and

an end effector extending from said shaft, wherein said end effector comprises

a distal end;

a first jaw; and

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position, wherein said knife bar is configured to move said first jaw between said open position and said closed position when said knife bar is moved between said first position and said second position, and wherein said knife bar is configured to move toward said distal end of said end effector when said knife bar is moved between said second position and said third position.

2. The surgical instrument of claim 1, wherein said handle comprises a handle body, wherein said trigger is pivotably mounted to said handle body, and wherein said toggle clamp comprises:

a first link comprising a first end and a second end;

a first pivot, wherein said first end of said first link is pivotably mounted to said handle body at said first pivot;

a second link comprising a first end and a second end; and

a second pivot, wherein said first end of said second link is pivotably mounted to said yoke at said second pivot, wherein said second end of said first link is rotatably coupled to said second end of said second link, and wherein said trigger is configured to engage at least one of said first link and said second link to move said first link and said second link between a first configuration and a second configuration and move said knife bar between said first position and said second position.

3. The surgical instrument of claim 2, wherein said second link is configured to drive said yoke toward said distal end of said end effector when said first link and said second link are moved from said first configuration into said second configuration, and wherein said rack is driven toward said distal end of said end effector by said rack lock in order to move said knife bar between said first position and said second position.

4. The surgical instrument of claim 3, wherein said rack lock is configured to prevent said knife bar from being moved between said second position and said third position when said rack lock is operably engaged with said rack, and wherein said rack is movable relative to said yoke when said rack lock is disengaged from said rack to allow said knife bar to be moved between said second position and said third position.

5. The surgical instrument of claim 2, wherein said second end of said first link is rotatably coupled to said second end of said second link at an intermediate pivot, wherein said first pivot and said second pivot define an axis therebetween, wherein said intermediate pivot comprises a vertex defined between a first line comprising said first pivot and said intermediate pivot and a second line comprising said second pivot and said intermediate pivot, wherein a first vertex angle is defined when said toggle clamp is in said first configuration, wherein a second vertex angle is defined when said toggle clamp is in said second configuration, and wherein said first vertex angle is smaller than said second vertex angle.

6. The surgical instrument of claim 5, wherein said second vertex angle is slightly less than 180 degrees.

7. The surgical instrument of claim 5, wherein said first link comprises a drive surface, wherein said trigger comprises a cam configured to engage said drive surface and move said first link and said second link between said first configuration and said second configuration during said first range of motion, and wherein said cam is not engaged with said drive surface during said second range of motion.

8. The surgical instrument of claim 7, wherein said cam is disengaged from said drive surface at the end of said first range of motion.

9. The surgical instrument of claim 7, further comprising a trigger gear pivotably mounted to said handle body, wherein said trigger is configured to move said trigger gear into operative engagement with said pinion during said first range of motion, and wherein said trigger is configured to drive said trigger gear and said pinion during said second range of motion in order to move said rack toward said distal end of said end effector and move said knife bar between said second position and said third position.

10. The surgical instrument of claim 9, wherein said trigger gear is not operably engaged with said pinion until the end of said first range of motion.

11. The surgical instrument of claim 9, further comprising a compounding gear operably engaged with said pinion, wherein said trigger is configured to operably engage said compounding gear in order to drive said pinion, and wherein said compounding gear is configured such that the pinion rotates at a faster rate than said trigger gear.

12. The surgical instrument of claim 11, further comprising a return spring operably engaged with at least one of said pinion and said compounding gear, and wherein said return spring is configured to rotate said compounding gear in a reverse direction such that said trigger gear is moved out of operative engagement with said compounding gear and such that said rack is moved from said third position to said second position.

13. The surgical instrument of claim 12, wherein said rack lock is configured to prevent said knife bar from being moved between said second position and said third position when said rack lock is operably engaged with said rack, wherein said rack is movable relative to said yoke when said rack lock is disengaged from said rack to allow said knife bar to be moved between said second position and said third position, and wherein said surgical instrument further comprises a lock spring configured to re-engage said rack lock with said rack when said knife bar is returned from said third position to said second position.

14. The surgical instrument of claim 13, wherein said cam of said trigger is configured to re-engage said drive surface of said first link when said trigger gear is operably disengaged from said compounding gear.

15. The surgical instrument of claim 14, wherein said surgical instrument further comprises a reversing plate operably engageable with said compounding gear, wherein said compounding gear and said return spring are configured to drive said reversing plate, and wherein said reversing plate is configured to drive said trigger such that said trigger moves said first link and said second link from said second configuration into said first configuration.

16. The surgical instrument of claim 15, wherein the movement of said first link and said second link from said second configuration into said first configuration is configured to move said yoke, said rack lock, and said rack away from said distal end of said end effector and to move said knife bar from said second position into said first position.

17. The surgical instrument of claim 1, further comprising a yoke spring positioned intermediate said shaft and said yoke, wherein said yoke spring is configured to be compressed between said yoke and said shaft and store potential energy when said yoke is advanced toward said distal end of said end effector.

18. The surgical instrument of claim 1, wherein at least one of said first jaw and said second jaw comprises an electrode configured to deliver energy to tissue clamped between said first jaw and said second jaw.

19. A surgical instrument configured to deliver energy to tissue, comprising:

a trigger movable between an unactuated position and an actuated position;

a first drive system comprising a toggle clamp;

a second drive system comprising a rack and pinion system, wherein said trigger is movable between a first range of motion and a second range of motion when said trigger is moved between said unactuated position and said actuated position, wherein said trigger is operably engageable with said first drive system such that said trigger is configured to actuate said toggle clamp during said first range of motion, wherein said trigger is operably disengaged from said second drive system during said first range of motion, wherein said trigger is operably engageable with said second drive system such that said trigger is configured to actuate said rack during said second range of motion, and wherein said trigger is operably disengaged from said first drive system during said second range of motion;

a shaft, wherein said shaft comprises a firing member movable between a first position, a second position, and a third position, wherein said toggle clamp and said rack are operably engageable with said firing member, wherein said toggle clamp is configured to move said firing member between said first position and said second position, and wherein said rack is configured to move said firing member between said second position and said third position; and

an end effector extending from said shaft, wherein said end effector comprises;

a distal end;

a first jaw; and

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position, and wherein said firing member is configured to move said first jaw between said open position and said closed position when said firing member is moved between said first position and said second position, and wherein said firing member is configured to move toward said distal end of said end effector when said firing member is moved between said second position and said third position.

20. A surgical instrument, comprising:

a first drive system;

a second drive system;

a trigger configured to move in a first direction through a first range of motion and in said first direction through a second range of motion in a single stroke of said trigger, wherein said second range of motion is adjacent to said first range of motion, wherein said trigger is engaged with said first drive system and operably disengaged with said second drive system during said first range of motion, and wherein said trigger is engaged with said second drive system and disengaged with said first drive system during said second range of motion; and

an end effector, comprising;

a first jaw and a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position, and wherein said first drive system is configured to move said first jaw between said open position and said closed position when said trigger moves through said first range of motion; and

a cutting member, wherein said second drive system is configured to move said cutting member toward a distal end of said first jaw and said second jaw when said trigger moves through said second range of motion.

21. The surgical instrument of claim 20, wherein said trigger is moveable between an unactuated position and an actuated position, and wherein said trigger moves through said first range of motion and through said second range of motion when moving between said unactuated position and said actuated position.

22. The surgical instrument of claim 21, wherein said trigger pivots between said unactuated position and said actuated position.

23. The surgical instrument of claim 20, wherein said second drive system comprises:

a rack; and

a pinion operably engaged with said rack.

24. The surgical instrument of claim 20, comprising a knife bar movable between a first position, a second position, and a third position, wherein said cutting member extends from said knife bar, wherein said first drive system is configured to move said knife bar between said first position and said second position, and wherein said second drive system is configured to move said knife bar between said second position and said third position.

25. The surgical instrument of claim 24, wherein said knife bar is configured to move said first jaw between said open position and said closed position when said knife bar is moved between said first position and said second position, and wherein said knife bar is configured to move said cutting member toward said distal end of said first jaw and said second jaw when said knife bar is moved between said second position and said third position.

26. The surgical instrument of claim 20, wherein at least one of said first jaw and said second jaw comprises an electrode configured to deliver energy to tissue clamped between said first jaw and said second jaw.

27. A surgical instrument, comprising:

a first drive system, wherein said first drive system comprises a toggle clamp;

a second drive system;

a trigger configured to move in a first direction through a first range of motion and in said first direction through a second range of motion, wherein said second range of motion is adjacent to said first range of motion, wherein said trigger is operably engaged with said first drive system during said first range of motion, and wherein said trigger is operably engaged with said second drive system during said second range of motion; and

an end effector, comprising;

a first jaw and a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position, and wherein said first drive system is configured to move said first jaw between said open position and said closed position when said trigger moves through said first range of motion; and

a cutting member, wherein said second drive system is configured to move said cutting member toward a distal end of said first jaw and said second jaw when said trigger moves through said second range of motion.

28. A surgical instrument, comprising:

a first drive system;

a second drive system;

a trigger configured to move in a first direction through a first range of motion and in said first direction through a second range of motion, wherein said second range of motion is adjacent to said first range of motion, wherein said trigger is engaged with said first drive system and operably disengaged with said second drive system during said first range of motion, and wherein said trigger is engaged with said second drive system and disengaged with said first drive system during said second range of motion; and

a firing member movable between a first position, a second position, and a third position, wherein said first drive system is configured to move said firing member between said first position and said second position, and wherein said second drive system is configured to move said firing member between said second position and said third position.

29. The surgical instrument of claim 28, wherein said trigger is moveable between an unactuated position and an actuated position, and wherein said trigger moves through said first range of motion and through said second range of motion when moving between said unactuated position and said actuated position.

30. The surgical instrument of claim 28, wherein said second drive system comprises:

a rack; and

a pinion operably engaged with said rack.

31. The surgical instrument of claim 28, comprising an end effector, wherein said end effector comprises:

a distal end;

a first jaw; and

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position, wherein said firing member is configured to move said first jaw between said open position and said closed position when said firing member is moved between said first position and said second position, and wherein said firing member is configured to move toward said distal end when said firing member is moved between said second position and said third position.

32. The surgical instrument of claim 31, wherein at least one of said first jaw and said second jaw comprises an electrode configured to deliver energy to tissue clamped between said first jaw and said second jaw.

33. A surgical instrument, comprising:

a first drive system, wherein said first drive system comprises a toggle clamp;

a second drive system;

a trigger configured to move in a first direction through a first range of motion and in said first direction through a second range of motion, wherein said second range of motion is adjacent to said first range of motion, wherein said trigger is operably engaged with said first drive system during said first range of motion, and wherein said trigger is operably engaged with said second drive system during said second range of motion; and

a firing member movable between a first position, a second position, and a third position, wherein said first drive system is configured to move said firing member between said first position and said second position, and wherein said second drive system is configured to move said firing member between said second position and said third position.

34. A surgical instrument, comprising:

a first drive system;

a second drive system;

a trigger movable through a first range of positions and through a second range of positions, wherein said trigger is engaged with said first drive system and disengaged with said second drive system in said first range of positions, and wherein said trigger is engaged with said second drive system and disengaged with said first drive system in said second range of positions; and

a firing member movable between a proximal position and a distal position, wherein an intermediate position is between said proximal position and said distal position, wherein said first drive system is configured to move said firing member between said proximal position and said intermediate position, and wherein said second drive system is configured to move said firing member between said intermediate position and said distal position.

35. The surgical instrument of claim 34, wherein said trigger is moveable between an unactuated position and an actuated position, and wherein said trigger moves through said first range of positions and said second range of positions when moving between said unactuated position and said actuated position.

36. The surgical instrument of claim 34, wherein said second drive system comprises:

a rack; and

a pinion operably engaged with said rack.

37. The surgical instrument of claim 34, comprising an end effector, wherein said end effector comprises:

a distal end;

a first jaw; and

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position, and wherein said firing member is configured to move said first jaw between said open position and said closed position when said firing member is moved between said proximal position and said intermediate position, and wherein said firing member is configured to move toward said distal end when said firing member is moved from said intermediate position to said distal position.

38. The surgical instrument of claim 37, wherein at least one of said first jaw and said second jaw comprises an electrode configured to deliver energy to tissue clamped between said first jaw and said second jaw.

39. A surgical instrument, comprising:

a first drive system, wherein said first drive system comprises a toggle clamp;

a second drive system;

a trigger movable through a first range of positions and through a second range of positions, wherein said trigger is operably engaged with said first drive system in said first range of positions, and wherein said trigger is operably engaged with said second drive system in said first range of positions; and

a firing member movable between a proximal position and a distal position, wherein an intermediate position is between said proximal position and said distal position, wherein said first drive system is configured to move said firing member between said proximal position and said intermediate position, and wherein said second drive system is configured to move said firing member between said intermediate position and said distal position.