Electrosurgical cutting and sealing instrument

• US 8,979,843 B2
• Filed: 07/23/2010
• Issued: 03/17/2015
• Est. Priority Date: 07/23/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Timm, Richard W., Laird, Robert J., Vakharia, Omar J., Thompson, Suzanne E., Monson, Gavin M., Hunt, John V.
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US12/842,476
• Publication Number:
  US 20120022524A1
• Time in Patent Office: 1,698 Days
• Field of Search: 606 50- 52, 606205-209
• 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 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback

Abstract

A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a linear actuator, for example.

Claims

1. An electrosurgical instrument, comprising:

a handle;

an elongate shaft extending distally from the handle;

an end effector coupled to a distal end of the elongate shaft, comprising;

a first jaw member;

a second jaw member, wherein the first jaw member is moveable relative to the second jaw member between an open and a closed position;

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

an electrode;

an axially moveable cutting member configured to move the first jaw member to the closed position, the tissue-cutting element positioned at a distal end of the axially moveable cutting member, wherein the tissue-cutting element is configured to cut tissue captured by the end effector;

a trigger coupled to the axially moveable cutting member, wherein the trigger is moveable through a first range of motion to advance the axially moveable cutting member to move the first jaw member to the closed position, and wherein the trigger is moveable through a second range of motion to advance the axially moveable cutting member to translate the tissue-cutting element to cut the captured tissue; and

a powered linear actuator coupled to the axially moveable cutting member, wherein the axially moveable cutting member is manually advanced without the powered linear actuator to move the first jaw member to the closed position during the first range of motion of the trigger, and wherein the axially moveable cutting member is advanced with the powered linear actuator to translate the tissue-cutting element to cut the captured tissue during the second range of motion of the trigger.

2. The electrosurgical instrument of claim 1, wherein the powered linear actuator comprises a motor and a lead screw.

3. The electrosurgical instrument of claim 2, comprising a nut assembly in threaded engagement with the lead screw.

4. The electrosurgical instrument of claim 1, wherein the powered linear actuator distally drives the axially moveable cutting member in the second range of motion of the trigger.

5. The electrosurgical instrument of claim 4, wherein the first jaw member moves from the open position to the closed position in the first range of motion of the trigger.

6. The electrosurgical instrument of claim 1, further comprising:

a force transducer coupled to the axially moveable cutting member; and

a linear actuator controller in electrical communication with the powered linear actuator and the force transducer.

7. The electrosurgical instrument of claim 6, wherein the linear actuator controller is configured to drive the powered linear actuator at an adjustable speed.

8. The electrosurgical instrument of claim 7, wherein the linear actuator controller is configured to determine the adjustable speed based at least on a signal from the force transducer.

9. The electrosurgical instrument of claim 1, further comprising:

a pressure sensor coupled to the trigger; and

a linear actuator controller in electrical communication with the powered linear actuator and the pressure sensor, wherein the linear actuator controller is configured to drive the powered linear actuator at an adjustable speed, wherein the linear actuator controller is configured to determine the adjustable speed based at least on a signal from the pressure sensor.

10. The electrosurgical instrument of claim 9, further comprising

an electrical input;

and

a switch moveable between an unactuated position and an actuated position, wherein the electrical input is electrically coupled to the electrode when the switch is in the actuated position.

11. The electrosurgical instrument of claim 10, further comprising a trigger sensor, wherein the trigger sensor supplies a trigger signal to the linear actuator controller in the second range of motion of the trigger.

12. The electrosurgical instrument of claim 11, wherein the linear actuator controller actuates the powered linear actuator when the switch is in the actuated position and the trigger sensor supplies the trigger signal.

13. An electrosurgical instrument, comprising:

a handle;

an elongate shaft extending distally from the handle,

an end effector coupled to a distal end of the elongate shaft, comprising;

a first jaw member;

a second jaw member, wherein the first jaw member is moveable relative to the second jaw member between an open and a closed position;

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

an electrode;

an axially moveable cutting member configured to move the first jaw member to the closed position, the tissue-cutting element positioned at a distal end of the axially moveable cutting member, wherein the axially moveable cutting member comprises a distal stop and a proximate stop, and wherein the tissue-cutting element is configured to cut tissue captured by the end effector;

a trigger coupled to the axially moveable cutting member moveable between a first position, a second position, and a third position, wherein the trigger is moveable from the first position to the second position to advance the axially moveable cutting member to move the first jaw member to the closed position, and wherein the trigger is moveable from the second position to the third position to advance the axially moveable cutting member to translate the tissue-cutting element to cut the captured tissue; and

a powered linear actuator coupled to a nut, wherein the nut is coupled to the axially moveable cutting member intermediate the distal stop and the proximate stop, wherein the trigger is configured to manually advance the proximate stop towards the nut without the powered linear actuator as the trigger moves from the first position to the second position, and wherein the trigger is configured to advance the nut away from the proximate stop with the powered linear actuator as the trigger is moved from the second position to the third position.

14. The electrosurgical instrument of claim 13, wherein the proximate stop engages the nut when the trigger is in the second position.

15. The electrosurgical instrument of claim 13, wherein the powered linear actuator comprises a lead screw in threaded engagement with the nut.

16. The electrosurgical instrument of claim 13, wherein the powered linear actuator distally drives the axially moveable cutting member when the trigger moves from the second position to the third position.

17. The electrosurgical instrument of claim 13, further comprising:

an electrical input; and

a switch moveable between an unactuated position and an actuated position, wherein the electrical input is electrically coupled to the electrode when the switch is in the actuated position.

18. The electrosurgical instrument of claim 17, wherein the powered linear actuator distally drives the axially moveable cutting member when the switch is in the actuated position and the trigger is in the third position.

19. An electrosurgical instrument, comprising:

a handle;

an elongate shaft extending distally from the handle;

an end effector coupled to a distal end of the elongate shaft, comprising;

a first jaw member,

a second jaw member, wherein the first jaw member is moveable relative to the second jaw member between an open and a closed position;

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

an electrode;

an axially moveable cutting member configured to move the first jaw member to the closed position, the tissue-cutting element positioned at a distal end of the axially moveable cutting member;

a trigger coupled to the axially moveable cutting member, wherein the trigger is moveable between a first position and a second position to advance the axially moveable cutting member to sequentially move the first jaw member to the closed position and cut tissue captured by the end effector;

a motor coupled to the axially moveable cutting member;

a load cell coupled to the axially moveable cutting member;

wherein the load cell is configured to output a load signal; and

wherein the motor distally drives the axially moveable cutting member at a variable speed, wherein the variable speed is at least partially based on the load signal, wherein the trigger is configured to advance the axially moveable cutting member without the motor to move the first jaw member to the closed position, and wherein the trigger is configured to advance the axially moveable cutting member with the motor to cut the captured tissue.